PMID: 2113238Feb 1, 1990Paper

Recurrent laryngeal nerve paralysis associated with thoracic aortic aneurysm

Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
M T Teixido, J P Leonetti

Abstract

The association of vocal cord dysfunction with thoracic aortic aneurysm (TAA) has been noted in the cardiovascular and otolaryngologic literature. A retrospective review of 168 cases of TAA was performed in order to: (1) define the natural history of associated recurrent laryngeal nerve paralysis (RLNP) and (2) propose mechanisms for the development of RLNP in operated and nonoperated aneurysms. Of 168 aneurysms, 5% manifested hoarseness secondary to RLNP. All had type I aneurysms. Only one patient regained vocal cord function after surgical treatment of the aneurysm. RLNP developed as a sequela of TAA repair in 12% of the patients managed surgically. RLNP associated with TAA type III repair had a higher incidence of recovery than paralysis that occurred after TAA type I repair (40% vs. 0% recovery). Sixty-six percent of all patients with permanently paralyzed larynges in this series attained glottic competence sufficient to avoid Teflon injection, and 27% of all RLNP associated with TAA in this series required Teflon injection for aspiration, severe dysphonia, or both. Seventeen percent of the patients with vocal cord paralysis associated with TAA recovered within 12 months. Aneurysm classification and pertinent anatomic relat...Continue Reading

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Citations

Apr 12, 2005·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Hsin-Chien ChenChih-Hung Wang
Apr 19, 2016·Case Reports in Otolaryngology·Hsing-Won WangFei-Peng Lee
Sep 29, 2011·American Journal of Physical Medicine & Rehabilitation·Hitoshi KagayaEiichi Saitoh
Dec 6, 2014·Journal of Applied Physiology·Megan J WilliamsJonathan P Vande Geest
Jan 1, 1993·The Journal of Laryngology and Otology·R D Keidan
Jan 1, 1995·Anesthesia and Analgesia·K A MillerP L Bailey
Jun 1, 2007·International Journal of Clinical Practice·J P MoralesP R Taylor
Feb 7, 2004·The Annals of Otology, Rhinology, and Laryngology·Katharina StoobThomas Pfammatter
May 16, 2014·Journal of Biomechanical Engineering·Megan J WilliamsJonathan P Vande Geest
Mar 5, 2003·The Laryngoscope·Tiemo WesselsC Klötzsch
Apr 7, 2010·Annals of Biomedical Engineering·Megan J AlexanderJonathan P Vande Geest
Oct 4, 2020·The Laryngoscope·Stephen PolitanoLaura Matrka
Apr 7, 2021·Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India·Sukanya MadhurajSatish Kumar
Jun 18, 2002·Chest·Shin-Ichi IshimotoSeiji Niimi
Dec 29, 2004·The Annals of Thoracic Surgery·Leonard N GirardiO Wayne Isom

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