ABSTRACT
Unilateral vocal cord patsy is not uncommon. The common aetiologies include post neck operation particularly thyroid surgery, trauma to the neck, primary or metastatic neck node or bronchogenic carcinoma. We present a case of a 61 years old Malay gentleman who was diagnosed to have lymphoma and started on usual chemotherapy regime for lymphoma. Later on, he developed unilateral vocal cord palsy. Possible aetiologies were discussed
Subject(s)
Humans , Male , Vocal Cord Paralysis/diagnostic imaging , Lymphoma, Large B-Cell, Diffuse/complications , Lymphoma, Large B-Cell, Diffuse/diagnosis , Lymphoma, Large B-Cell, Diffuse/drug therapy , Antineoplastic Combined Chemotherapy Protocols/adverse effects , Antineoplastic Combined Chemotherapy Protocols , Antibodies, Monoclonal/adverse effects , Antibodies, Monoclonal , Cyclophosphamide/adverse effects , Cyclophosphamide , Doxorubicin/adverse effects , Doxorubicin , Vincristine/adverse effects , Vincristine , Prednisolone/adverse effects , PrednisoloneABSTRACT
Bilateral abductor vocal cord palsy is comparatively a rare vocal cord lesion, especially in a patient with no history of neck mass, previous surgery or trauma. Many patients are not stridulous. A patient presenting with stridor may need emergency airway management before the other treatment is commenced. We report a case of bilateral abductor palsy which required an emergency tracheostomy and subsequently a laser posterior cordectomy.