A Case of Bilateral Vocal Fold Paralysis Induced by Concurrent Rheumatoid Arthritis Involvement of Laryngeal Nerve and Cricoarytenoid Joint
Journal of the Korean Society of Laryngology Phoniatrics and Logopedics
;
: 130-133, 2016.
Article
in Korean
| WPRIM
| ID: wpr-68489
ABSTRACT
Rheumatoid arthritis (RA) is a connective tissue disease involving the larynx in 30% of the patients. Foreign body sensation, hoarseness, and cough are common symptoms in laryngeal involvement. An urgent tracheostomy is required when acute airway obstruction occurs in case of bilateral vocal fold paralysis. The most common cause of bilateral vocal fold paralysis in RA patients is a cricoarytenoid joint arthritis. Laryngeal nerve degeneration is rare cause of bilateral vocal fold paralysis in RA patients. In this case report, an emergent tracheostomy was performed on a 64-years-old male patient with acute dyspnea, and concurrent involvement of RA on laryngeal nerve and cricoarytenoid joint was revealed by laryngeal electromyography and histopathology. The vocal fold mobility was restored after 3-months medical treatment.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Paralysis
/
Arthritis
/
Arthritis, Rheumatoid
/
Sensation
/
Vocal Cords
/
Tracheostomy
/
Hoarseness
/
Connective Tissue Diseases
/
Cough
/
Airway Obstruction
Limits:
Humans
/
Male
Language:
Korean
Journal:
Journal of the Korean Society of Laryngology Phoniatrics and Logopedics
Year:
2016
Type:
Article
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