Document Detail


Respiratory distress after recurrent laryngeal nerve sectioning for adductor spastic dysphonia.
MedLine Citation:
PMID:  7070166     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Adductor spastic dysphonia is a voice sign associated with various neurologic and psychologic disorders. Treatment of spastic dysphonia in selected patients is unilateral recurrent laryngeal nerve sectioning. Except for voice change or, in some patients, return of phonatory spasticity, there have been no long-term sequelae or complications of this treatment. We describe three patients with adductor spastic dysphonia who underwent recurrent laryngeal nerve sectioning and who, 3 to 38 months later, suffered respiratory distress that required tracheostomy. The respiratory distress in all three patients was due to episodic jerky vocal cord hyperadductions that caused stridor during inspiration and expiration. These repetitive laryngospasms during respiration and phonation were progressive. Two patients needed an arytenoidectomy to achieve a useful voice, and all three required a permanent tracheostomy to alleviate inspiratory laryngeal obstruction.
Authors:
J R Salassa; L W DeSanto; A E Aronson
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Laryngoscope     Volume:  92     ISSN:  0023-852X     ISO Abbreviation:  Laryngoscope     Publication Date:  1982 Mar 
Date Detail:
Created Date:  1982-06-14     Completed Date:  1982-06-14     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8607378     Medline TA:  Laryngoscope     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  240-5     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Female
Humans
Laryngeal Nerves / surgery*
Laryngismus / etiology,  surgery
Male
Middle Aged
Muscle Spasticity
Postoperative Complications / etiology*
Recurrence
Recurrent Laryngeal Nerve / surgery*
Respiratory Insufficiency / etiology*,  surgery
Tracheotomy
Voice Disorders / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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