introduction:tapia’s syndrome is a rare complication of recurrent laryngeal and hypoglossal nerve paralysis due to anesthetic airway mismanagement or malpositioning of the patient’s head during surgery. case report:here we present a case of tapia's syndrome in a 22-year-old male after corrective jaw surgery under general anesthesia, with a long period of recovery, related to airway managem...

bilateral vocal cord paralysis is a rare and preventable complication of anterior cervical discectomy and fusion. herein, we report a fatal case of bilateral vocal cord paralysis after anterior cervical discectomy and fusion (acd/f). a 65-year-old man with cervical spine trauma and anterior cord syndrome, following car overturn presented to our emergency department. the patient had c6-t10 prola...

Introduction: Unilateral vocal cord paralysis (UVCP) is not an uncommon finding. Several procedures are available to manage glottal insufficiency. We conducted a clinical trial to evaluate the outcome of fat injection laryngoplasty.   Materials and Methods: Liposuctioned lower abdomen fat was injected for augmentation of paralyzed vocal cord in 20 patients with UVCP. Autologous fat was harveste...

Vocal cord dysfunction involves inappropriate vocal cord motion that produces partial airway obstruction. Patients may present with respiratory distress that is often mistakenly diagnosed as asthma. Exercise, psychological conditions, airborne irritants, rhinosinusitis, gastroesophageal reflux disease, or use of certain medications may trigger vocal cord dysfunction. The differential diagnosis ...

OBJECTIVE To investigate the clinical feasibility of dual energy subtraction (DES) imaging to improve the delineation of the vocal cord and diagnostic accuracy of vocal cord paralysis as compared with the anterior-posterior view of flat panel detector (FPD) neck radiography. MATERIALS AND METHODS For 122 consecutive patients who underwent both a flexible laryngoscopy and conventional/DES FPD ...

BACKGROUND Vocal cord dysfunction is often misdiagnosed and mistreated as asthma, which can lead to increased and unnecessary medication use and increased health care utilization. OBJECTIVE To develop a valid scoring index that could help distinguish vocal cord dysfunction from asthma. METHODS We compared the demographics, comorbidities, clinical symptoms, and symptom triggers of subjects w...

Objective: Explore the practical clinical significance and correlation of voice handicap index (VHI) for vocal polyps and vocal nodules, and further validate practicality of VHI. Methods: VHI of vocal cord polyp group (n = 35), vocal nodule group (n = 29), and control group (n = 22) was surveyed respectively. The VHI investigation included three categories of function (F), physiology (P) and em...

BACKGROUND Quality of voice after immediate recurrent laryngeal nerve (RLN) reconstruction in thyroid cancers has not been thoroughly studied. METHODS Thirteen patients with fixed vocal cords (fixed vocal cord group) and 8 patients with intact or impaired mobile vocal cords (mobile vocal cord group) who had immediate RLN reconstruction simultaneously with total thyroidectomy, and patients who...

OBJECTIVE Phrenic nerve pacing can be used to treat congenital central hypoventilation syndrome (CCHS). We report how the lack of normal vocal cord tone during phrenic paced respiration can result in passive vocal cord collapse and produce obstructive symptoms. METHODS We describe a case of passive vocal cord collapse during phrenic nerve paced respiration in a patient with CCHS. As far as we...

INTRODUCTION Vocal cord paralysis is a common symptom of numerous diseases and it may be due to neurogenic or mechanical fixation of the cords. Paralysis of the vocal cords is just a symptom of underlying disease in some cases; so, clinical diagnosis of the underlying cause leading to paralysis of the vocal cords is important. This study evaluates the causes of vocal cord paralysis. METHODS I...