Nine of 14 asthmatic patients who presented with persistent dysphonia while taking inhaled corticosteroids had a bilateral adductor vocal cord deformity with bowing of the cords on phonation. This causes the dysphonia and usually occurs without candidiasis. It was seen with beclomethasone dipropionate (in both pressurised aerosol and dry powder preparations), betamethasone valerate, and budeson...

Vocal cord papillomas are rare growths of viral etiology caused by human papillomavirus (HPV). Large polyps known to obstruct glottic opening and can cause acute airway obstruction. We report a case 4-year-old male child with progressive hoarseness voice stridor posted for excision vocal papillomas. Paediatric age the patient position growth obstructing at cords provided an extremely challengin...

Laryngeal electromyography is used in the evaluation of vocal cord paralysis to confirm the diagnosis, to guide the diagnostic work-up for etiology, to provide prognostic information and to help choose the correct treatment for the patient. Cardiovocal syndrome is characterised by vocal cord paralysis due to a cardiovascular disease. A wide spectrum of conditions can result in this syndrome. He...

During the acute phase of transient bilateral paralysis after thyroid surgery, a tracheotomy unfortunately remains the solution in most emergency situations. The author describes and discusses the case of a totally thyroidectomized female patient, who presented fifteen days after surgery with bilateral vocal cord paralysis resulting in dyspnea and exhaustion. After tracheotomy refusal, a unilat...

BACKGROUND As multidisciplinary cancer treatment evolves, strategies to identify patients needing early resection/salvage are necessary. Some have suggested that vocal cord function after organ-preservation treatment may be an indicator. METHODS A retrospective review was performed of patients presenting with fixed or impaired vocal cord function at a tertiary center. Local recurrence rates w...

Although vocal cord paralysis (VCP) following thyroidectomy is primarily associated with surgical trauma, it is not the sole etiology. Vocal cord paralysis following thyroidectomy can be caused by a vocal cord hematoma with an incidence of 1.4% due to direct injury during orotracheal intubation. In this article, we present a case of VCP caused by vocal cord hematoma. A 32-year-old male patient ...

OBJECTIVES To evaluate the efficacy and clinical usefulness of laryngeal electromyography (EMG) in the evaluation and management of vocal cord mobility problems in children; and to determine the ability of laryngeal EMG to differentiate vocal fold fixation versus paralysis. STUDY DESIGN Case-series review of 8 children with vocal cord immobility who underwent laryngeal EMG. METHODS Eight ch...

At the National Jewish Center for Immunology and Respiratory Medicine, approximately 10% of the patients referred for inpatient evaluation for refractory asthma have vocal cord dysfunction with¬ out any evidence of asthma. An additional 30% are diagnosed as having both vocal cord dysfunction and asthma.1 Based on this data, we would have expected a significant number of patients treated by Kass...

Asthma is a heterogeneous disease, usually characterized by chronic airway inflammation. Various clinical conditions can mimic asthma, such as foreign body aspiration, subglottic stenosis, congestive heart failure, diffuse panbronchiolitis, aortic arch anomalies, reactive airway dysfunction syndrome, chronic obstructive pulmonary disease, retrosternal goiter, vocal cord tumors, other airway tum...