PMID: 15334403Aug 31, 2004Paper

Bilateral vocal cord paralysis secondary to esophageal compression

American Journal of Otolaryngology
Burke E Chegar, Precha Emko

Abstract

Bilateral vocal cord paralysis is most commonly caused by trauma, malignancy, and neurologic disorders. Cases secondary to esophageal compression of the recurrent laryngeal nerves are rare. We report a patient admitted with an exacerbation of achalasia who developed acute respiratory distress from bilateral immobile vocal cords. Imaging studies revealed impressive dilation of the cervical esophagus causing compression of both recurrent laryngeal nerves. After securing the airway and decompression of the esophagus, mobility of the vocal cords returned within 1 week. This case shows the importance of a careful airway workup in patients with esophageal distention. Early decompression may prevent permanent recurrent laryngeal nerve injury and airway obstruction.

References

Jul 1, 1976·The Annals of Otology, Rhinology, and Laryngology·L D HolingerP H Holinger
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Citations

Dec 20, 2005·Dysphagia·Ilker TuranSerhat Bor
Mar 5, 2010·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Phillip J P Sale, Chi-Kee Leslie Shaw
Jun 14, 2013·The Journal of Laryngology and Otology·B Sobrino-GuijarroR K Lingam
Dec 21, 2013·Digestive Diseases and Sciences·Mahesh GuptaVivek A Saraswat
Oct 30, 2016·Annals of the Royal College of Surgeons of England·J M Fussey, F Ahsan
Feb 10, 2021·Annals of Rehabilitation Medicine·Ki Hoon ParkEun Kyoung Kang

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