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
Dans Coréen
| 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.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Paralysie
/
Arthrite
/
Polyarthrite rhumatoïde
/
Sensation
/
Plis vocaux
/
Trachéostomie
/
Enrouement
/
Maladies du tissu conjonctif
/
Toux
/
Obstruction des voies aériennes
Limites du sujet:
Humains
/
Mâle
langue:
Coréen
Texte intégral:
Journal of the Korean Society of Laryngology Phoniatrics and Logopedics
Année:
2016
Type:
Article
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