Unilateral Vokal Kord Paralizisi: Etiyolojik Faktörlerin Demografik Verilerle Karşılaştırılması

Abstract

Objective: Unilateral vocal cord paralysis (UVCP) is characterized with fixation of vocal cords at different positions depending on the level where the nerves is affected. Along the long course of recurrent laryngeal and vagal nerve any lesion may lead to vocal cord paralysis. The aim of this study is to analyse causes of UVCP and demographic findings of the patents. Methods: We reviewed 47 patients with UVCP who applied to our clinic between 2013-2015 etiologically and analysed them according to age, gender and side of the lesion. We compare patients in two groups, under 40 years old (15 patients) and over 40 years old (32 patients) according to their ethiology. Results: There was no statistically significant difference between the numbers of male and female patients (p=0,307). There was no statistically significant difference between right and left sided lesions (p=0,884). Thyroidectomy was the most frequent cause of UVCP (55,3%). While thyroidectomy was the most common cause over the age of 40 (68,7% p=0,017), this was followed by malignancies. We found nonsurgical causes as the most common cause under the age of 40 (66,7% p=0,028). Among them idiopathic UVCP was at the top of the nonsurgical causes. Thyroidectomy was the second common cause under the age of 40. There was no difference between two genders according to etiology. Side dominance was observed only at patients with idiopathic UVCP and it was to the left side at this group. Conclusion: UVCP is one of the most common cause of glottic gap and identifying the etiology is crucial to determine the prognosis and additional diseases. Especially, malignancy is one of the most common cause of UVCP over the age of 40, and detailed physical examination and imaging techniques should be performed.

Keywords

• Unilateral Vocal Cord Paralysis
• Thyroidectomy
• Recurrent Laryngeal Nevre

Unilateral Vokal Kord Paralizisi: Etiyolojik Faktörlerin Demografik Verilerle Kar􀄹la􀄹trlmas

Abstract

Amaç:Unilateral vokal kord paraizileri ( UVKP) vokal kordların sinirin etkilenme düzeyine ba􀃾l olarak farkl pozisyonlarda fikse olmasyla karakterizedir. Rekürren laringeal sinir ve vagal sinirin uzun seyri boyunca kar􀄹la􀄹t􀃾 herhangi bir lezyon vokal kord paralizisine neden olabilir.Bu çal􀄹mann amac UVKPnin nedenlerini ve hastalarn demografik verilerini incelemektir. Yöntemler: 2013-2015 yllar arasnda klini􀃾imize ba􀄹vuran 47 UVKP hastasn etiyolojik açdan incelendi ve ya􀄹, cinsiyet ve lezyonun tarafna göre de􀃾erlendirildi. 40 ya􀄹 alt (15 hasta) ve 40 ya􀄹 üstü (32 hasta) hastalar iki grup halinde etiyolojik nedene göre kar􀄹la􀄹trld. Bulgular: Kadn ve erkek saylar arasnda istatistiksel olarak anlaml bir fark izlenmedi (p=0,307). Sa􀃾 ve sol tarafl lezyonlar arasnda istatistiksel olarak anlaml bir fark izlenmedi (p=0,884). Tiroidektomi en sk UVKP nedeniydi (%55,3). 40 ya􀄹 üstünde tiroidektomi en sk nedenken (%68,7 p=0,017), bunu maligiteler takip etmekteydi.40 ya􀄹 altnda en sk cerrahi olmayan nedenler olarak bulundu (%66,7 p=0,028). Cerrahi olmayan nedenlerin en ba􀄹nda ise idiopatik UVKP yer almaktayd. Tiroidektomi ise 40 ya􀄹 altnda ikinci sklkta görülen nedendi. Cinsiyetler arasnda etiyolojide bir fark izlenmedi. Sadece idiopatik UVKP hastalarnda taraf üstünlü􀃾ü mevcuttu ve bu grupta taraf üstünlü􀃾ü sol tarafayd. Sonuç: UVKP klinikte glottik yetmezlik yapan en sk nedenlerden biri olup etyolojinin belirlenmesi prognoz ve ek hastalklarn tespiti açsndan oldukça önemlidir. Özellikle 40 ya􀄹 üstü vakalarda maligniteler UVKP nin sk nedenlerinden biri oldu􀃾undan ayrntl fizik muayene ve görüntüleme yöntemleri ile inceleme yaplmal dr.

Keywords

• Unilateral Vokal Kord Paralizisi
• Tirodektomi
• Rekürren Laringeal Sinir

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