Abstract
Unilateral vocal fold paralysis is a common finding with a variety of underlying causes. The six main etiologic groups include neoplastic, traumatic (iatrogenic, accidental) neurological, inflammatory, congenital, and idiopathic. Various unusual causes have been described including foreign body ingestion, mediastinal lymph nodes, large pleural blebs, tracheal diverticulum, etc. It is therefore essential, that a thorough evaluation and methodical approach be undertaken to ascertain the etiology, before labelling it as idiopathic and offering any treatment. This review article focuses on the uncommon and rare causes of unilateral vocal fold paralysis that are presented through 3 representative case reports; a cardio-vocal (Ortner’s) syndrome, Zenker’s diverticulum and diffuse idiopathic skeletal hyperostosis. These examples are discussed with radiological findings in the context of current literature.
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References
Nerurkar N, Patil P et al (2011) Tracheocele—a case report. The Laryngoscope 121(8):1735–1737
Heikkinen J, Milger K, Alejandre-Lafont E et al (2012) Cardiovocal syndrome (Ortner’s syndrome) associated with chronic thromboembolic pulmonary hypertension and giant pulmonary artery aneurysm: case report and review of the literature. Case Rep Med 2012:230736
Sarin V, Bhardwaj B (2016) Ortner’s syndrome-a rare cause of hoarseness: its importance to an otorhinolaryngologist. Iran J Otorhinolaryngol 28(85):163–167
Sandoval ARH, Zamora RC, Carrasco JM, Ramos JA (2014) Ortner’s syndrome: a case report and review of the literature. BMJ Case Rep. https://doi.org/10.1136/bcr-2013-202900
De Freitas S, Connolly C, Neary C, Sultan S (2016) Ductus arteriosus aneurysm presenting as hoarseness: successful repair with an endovascular approach. J Surg Case Rep. https://doi.org/10.1093/jscr/rjw060
Gupta JD, Bham N, Osofsky R et al (2020) Hoarseness caused by a penetrating proximal descending thoracic aortic ulcer and pseudoaneurysm. Vasc Endovasc Surg 54(3):288–291
Joshi A, Garg A, Vhanmare B, Merchant S, Nerurkar N (2006) A vascular ring variant: an unusual case of vocal cord palsy due to an anomalous left carotid artery arising from retrotracheal arch of aorta. Br J Radiol 79:e81–e83
Sutcliffe RP, Rohatgi A, Forshaw MJ, Mason RC (2007) Recurrent laryngeal nerve palsy due to impacted dental plate in the thoracic oesophagus: case report. World J Emerg Surg 2:30
Strasser G, Schima W, Schober E, Pokieser P, Kaider A, Denk DM (2000) Cervical osteophytes impinging on the pharynx: importance of size and concurrent disorders for development of aspiration. AJR Am J Roentgenol 174:449–453
Sebaaly A, Boubez G, Sunna T, Wang Z, Alam E, Christopoulos A et al (2018) Diffuse idiopathic hyperostosis manifesting as dysphagia and bilateral cord paralysis: a case report and literature review. World Neurosurg 111:79–85
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Dhingra, S., Juneja, R., Kazi, F.N. et al. Rare Causes of Unilateral Vocal Fold Paralysis: Report of 3 Cases with Review of Literature. Indian J Otolaryngol Head Neck Surg 74 (Suppl 2), 2247–2251 (2022). https://doi.org/10.1007/s12070-020-02113-3
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DOI: https://doi.org/10.1007/s12070-020-02113-3