Document Detail

Cervical osteophytes causing vocal fold paralysis: case report and literature review.
MedLine Citation:
PMID:  22892224     Owner:  NLM     Status:  In-Data-Review    
Objectives: To increase awareness of cervical osteophytes as an extremely rare cause of recurrent laryngeal nerve palsy; to outline the clinical approach to patients with unilateral vocal fold paralysis and to provide an update on the current management of osteoarthritis and osteophytes. Case report: An elderly man presented with right unilateral vocal fold immobility and a small phonatory gap. By a diagnosis of exclusion, a cervical osteophyte at the level of the sixth and seventh cervical vertebrae was shown to be the cause. The patient responded to speech therapy and no further intervention was required. Method: A literature review, using Medline, identified only one previously published case of vocal fold paralysis due to osteophytes secondary to osteoarthritis. Conclusion: The aetiology of unilateral paralysis of the hemilarynx must be fully investigated, as the innervating system has a protracted course, particularly on the left side. Degenerative cervical spine disease, although rare, should be considered as part of the differential diagnosis.
J S Virk; A Majithia; R K Lingam; A Singh
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of laryngology and otology     Volume:  126     ISSN:  1748-5460     ISO Abbreviation:  J Laryngol Otol     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-08-15     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8706896     Medline TA:  J Laryngol Otol     Country:  England    
Other Details:
Languages:  eng     Pagination:  963-5     Citation Subset:  AIM; IM    
Department of ENT, Northwick Park Hospital, North West London Hospitals NHS Trust, Harrow, UK.
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