Document Detail

Laryngeal paralysis as the presenting sign of aortic trauma.
MedLine Citation:
PMID:  2765228     Owner:  NLM     Status:  MEDLINE    
Disruption of the thoracic aorta is usually fatal without prompt surgical attention. Left recurrent laryngeal nerve paralysis has been reported in approximately 10% of patients who survive long enough to develop a pseudoaneurysm, but the time of onset has rarely been specified. In this study, 50 cases of thoracic aortic trauma were reviewed to determine the incidence and timing of laryngeal paralysis, compared with 50 cases of atherosclerotic aneurysms matched for location. Four patients in the traumatic group were hoarse, and the onset was immediate in 3. Six in the atherosclerotic group became hoarse. Results indicate that laryngeal paralysis following severe trauma can be a very early sign of aortic injury and requires prompt and thorough investigation.
G E Woodson; B Kendrick
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Archives of otolaryngology--head & neck surgery     Volume:  115     ISSN:  0886-4470     ISO Abbreviation:  Arch. Otolaryngol. Head Neck Surg.     Publication Date:  1989 Sep 
Date Detail:
Created Date:  1989-10-05     Completed Date:  1989-10-05     Revised Date:  2006-03-28    
Medline Journal Info:
Nlm Unique ID:  8603209     Medline TA:  Arch Otolaryngol Head Neck Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1100-2     Citation Subset:  AIM; IM    
Department of Otolaryngology-Head and Neck Surgery, University of California, San Diego.
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MeSH Terms
Aorta, Thoracic / injuries
Aortic Aneurysm / complications*
Aortic Rupture / complications*
Vocal Cord Paralysis / etiology*
Wounds, Nonpenetrating / complications*

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