Vocal cord paralysis: What matters between idiopathic and non-idiopathic cases?

Year 2016, Volume: 26 Issue: 4, 228 - 233, 10.09.2016

Eltaf Ayça Özbal Koç Seda Türkoğlu Babakurban Ozan Erol Selim Erbek

Abstract

Objectives: This study aims to evaluate the demographic and clinical characteristics of patients with idiopathic and non-idiopathic vocal cord paralysis VCP . Patients and Methods: This retrospective cohort was performed on data extracted from medical files of 92 consecutive patients 43 males, 49 females; median age 52.1±23.1 years; min. 1 - max. 87 with VCP diagnosed in the otorhinolaryngology department between April 2012 and December 2015. Diagnoses associated with VCP, side of involvement right, left or bilateral and previous medical histories were noted and compared between patients with idiopathic and non-idiopathic VCP. Results: Vocal cord paralysis occurred on the left side n=56, 60.9% , right side n=28, 30.4% or bilaterally n=8, 8.7% . A clinical entity related with VCP was identified in 63 patients 68.5% , while 29 31.5% patients had idiopathic VCP. Most common etiologies for VCP were thyroid surgery n=32, 34.8% , cardiovascular surgery n=9, 9.8% , lung cancer n=6, 6.5% and cardiac anomalies n=4, 4.3% , respectively. Patients with idiopathic VCP were significantly older p<0.001 , while gender distribution p=0.121 and side of involvement p=0.340 did not differ between two groups. Conclusion: Vocal cord paralysis is a relatively common clinical entity with substantial rate of morbidity. Identification of the underlying etiology and awareness on the clinical characteristics are keystones for foreseeing complications and determining the appropriate therapeutic modality.

Keywords

Etiology, idiopathic, paralysis, vocal cord

Ses teli felci: İdiyopatik ve idiyopatik olmayan olgular arasında önemli olan nedir?

Abstract

Amaç: Bu çalışmada idiyopatik ve idiyopatik olmayan ses teli felci STF olan hastaların demografik ve klinik özellikleri değerlendirildi.Hastalar ve Yöntemler: Bu geriye dönük kohort çalışması, Nisan 2012 - Aralık 2015 tarihleri arasında kulak burun boğaz kliniğinde STF tanısı konmuş 92 ardışık hastanın 43 erkek, 49 kadın; medyan yaş 52.1±23.1 yıl; dağılım 1-87 yıl tıbbi dosyalarından alınan verilere göre yapıldı. İdiyopatik ve idiyopatik olmayan STF hastalarının STF ile ilgili tanıları, tutulum tarafı sağ, sol veya iki taraflı ve önceki tıbbi geçmişleri kaydedildi ve karşılaştırıldı.Bulgular: Ses teli felci sol tarafta n=56, %60.9 , sağ tarafta n=28, %30.4 ya da iki taraflı n=8, %8.7 meydana geldi. Altmış üç hastada %68.5 STF ile ilgili klinik birer tablo tanımlanırken, 29 %31.5 hastada idiyopatik STF vardı. Ses teli felci için en yaygın etyolojiler sırasıyla tiroid ameliyatı n=32, %34.8 , kalp ve damar cerrahisi n=9, %9.8 , akciğer kanseri n=6, %6.5 ve kardiyak anomalileri n=4, %4.3 idi. İdiyopatik STF hastaları önemli ölçüde daha yaşlıyken p

Keywords

Etyoloji, idiyopatik, felç, ses teli

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