PMID: 11320618Apr 26, 2001Paper

Bilateral recurrent laryngeal nerve paralysis

HNO
H E Eckel, C Sittel

Abstract

This paper seeks to provide the reader with a state-of-the-art review of the aetiology, diagnosis and clinical management of bilateral recurrent nerve paralysis. The recurrent laryngeal nerves are more frequently involved in bilateral paralysis than any other cranial nerve. Most of the underlying lesions are iatrogenic, with thyroid surgery being the single most important causative factor. However, a variety of different reasons can lead to such a condition. Whenever the aetiology is uncertain, a complete diagnostic work-up is mandatory. Massive stridor on inspiration is the key symptom. Indirect laryngoscopy confirms the diagnosis. Laryngeal electromyography is of great value because it differentiates between paralysis and ankylosis of the cricoarytenoid joint. Moreover, in many cases, laryngeal electromyography yields reliable prognosis of clinical outcome. While unfavorable results can be predicted with high accuracy, correct prognosis of complete recovery is more difficult. Clinical management is surgical in the vast majority of cases. A variety of endoscopic techniques for widening the glottic airway are available today and are discussed in detail. Compared to permanent tracheostomy, these procedures have much less impact ...Continue Reading

Citations

Jul 27, 2005·The Annals of Otology, Rhinology, and Laryngology·Susanne FleischerMarkus M Hess
Mar 21, 2018·Lasers in Medical Science·Joanna JackowskaMalgorzata Wierzbicka
Feb 25, 2003·The Annals of Otology, Rhinology, and Laryngology·Hans Edmund EckelChristian Sittel
Sep 23, 2014·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·H Dralle
Jan 21, 2021·Journal of Voice : Official Journal of the Voice Foundation·Rodolfo Bonfim Siqueira de AlmeidaHugo Valter Lisboa Ramos

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