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Vocal Fold

Adult-onset familial vocal fold paralysis

September 21, 2015  |  Ida Amir, MRCS, DOHNS; Yanick J. Crow, MBBS, PhD, MRCP; Pradeep Morar, MD, FRCS(ORL-HNS)

Abstract

We describe the cases of 2 brothers in their early 50s, born to consanguineous parents, who presented with acute stridor as a result of adult-onset bilateral abductor vocal fold paralysis. Both patients had a history of adult-onset asthma. No other associated symptoms were...

Silastic injection for vocal fold medialization resulting in a false-positive finding on F18 FDG-PET/CT

September 21, 2015  |  Ayman Mahfouz, MBBS; Meeran Naji, MSc, MRCS, FRCR; Wing Yan Mok, BSc, MBBS, FRCR; Ali S. Taghi, MBBS, MD, FRCS(ORL-HNS); Zarni Win, MRCP, FRCR

Abstract

A false-positive uptake of F18-fluorodeoxyglucose (FDG) on positron-emission tomography/computed tomography (PET/CT) can result in confusion and misinterpretation of scans. Such uptakes have been previously described after injection of polytetrafluoroethylene (Teflon) into the...

Posthemorrhagic polyp: Risk of misdiagnosis of the cause of glottic insufficiency

September 21, 2015  |  Massi Romanelli-Gobbi, MD; Julia Ellerston, MA; Rima A. DeFatta, MD; Joel Portnoy, MD; Robert T. Sataloff, MD, DMA, FACS

Patients with vocal fold hemorrhage often present with sudden dysphonia and may not be able to recall an inciting event.

A rare case of malignant fibrous histiocytoma (pleomorphic undifferentiated sarcoma NOS) of the vocal fold

July 21, 2015  |  Jin Pyeong Kim, MD; Jin Yong Kim, MD; Gyung Hyuck Ko, MD; Seung Hoon Woo, MD

Abstract

Malignant fibrous histiocytoma, also known as pleomorphic undifferentiated sarcoma not otherwise specified, arises in numerous organs. The first-line treatment is complete excision of the mass, but in some cases postoperative chemo- and/or radiotherapy is recommended. Only a...

Bilateral true vocal fold atrophy

April 28, 2015  |  Jason Bell, MD; Rima A. DeFatta, MD; Robert T. Sataloff, MD, DMA, FACS

The most common cause of vocal fold atrophy is aging, but other causes include paresis, menopause, and thyroiditis, as well as neuromuscular junction disorders such as myasthenia gravis.

Bilateral Eagle syndrome causing dysphagia

February 2, 2015  |  Lyndsay L. Madden, DO; Roxann Diez Gross, PhD; Libby J. Smith, DO

Patients with Eagle syndrome often report symptoms that include dysphagia, otalgia, throat pain, globus sensation, facial pain, headache, taste disturbances, and dental pain that worsen with chewing, head and tongue movements, and swallowing.

Glottic myxoma presenting as chronic dysphonia: A case report and review of the literature

January 19, 2015  |  Christopher G. Tang, MD; Daniel L. Monin, MD; Balaram Puligandla, MD; Raul M. Cruz, MD

Abstract

Myxomas of the vocal fold are rare benign tumors often presenting with chronic dysphonia and less frequently with airway obstruction. The current consensus is that all laryngeal myxomas should be totally excised with clear margins to prevent recurrences. The recommendation for...

Amyotrophic lateral sclerosis presenting as bilateral abductor paralysis

December 19, 2014  |  Michelle Levian, DO; Reena Gupta, MD, FACS

Occasionally, patients who have amyotrophic lateral sclerosis initially present with vocal and respiratory signs and symptoms.

Rapid growth of a laryngeal oncocytic cyst after surgical irritation

October 18, 2014  |  John T. Sinacori, MD; Robert A. Jack II, MD; Jonathan R. Workman, MD

The origin of oncocytic lesions remains controversial. They occur more frequently with increasing age, and patients commonly present with a prolonged duration of hoarseness

Vocal fold tear in an operatic tenor

September 18, 2014  |  Joel E. Portnoy, MD; Robert T. Sataloff, MD, DMA, FACS

The patient complained of increased throat clearing and coughing. He had experienced similar symptoms 3 months previously, which had resolved with voice rest.

Acute vocal fold hemorrhage after phonosurgery

July 14, 2014  |  Joel E. Portnoy, MD; Catherine Capo, BS; Robert T. Sataloff, MD, DMA, FACS

In this case, the KTP laser was used to vaporize the bilateral vocal fold varicosities.

Invasive primary aspergillosis of the larynx presenting as hoarseness and a chronic nonhealing laryngeal ulcer in an immunocompetent host: A rare entity

July 14, 2014  |  Mimi Gangopadhyay, MD; Kaushik Majumdar, MD; Arghya Bandyopadhyay, MD; and Anup Ghosh, MS(ENT)

Abstract

Primary aspergillosis usually affects the paranasal sinuses, orbit, ear, and lower respiratory tract. Laryngeal aspergillosis usually occurs as a result of secondary invasion from the tracheobronchial tree, more commonly in immunocompromised hosts. Primary laryngeal...

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