Öz
The etiology of vocal cord paralysis is highly variable. Neurological, birth trauma, surgical procedure and idiopathic are notable causes. Clinical findings are different according to type of paralysis. Vocal cord paralysis can be seen unilateral or bilateral. Bilateral vocal cord paralysis are more severe clinical findings than according to unilateral paralysis. We report a 9-month child. He was admitted to hospital with stridor and cyanosis He was diagnosed Chiari malformation type 2 and bilateral vocal cord paralysis. Chiari malformation type 2 related vocal cord paralysis can severely respiratory failure.
Anahtar Kelimeler
Kaynakça
- Aydın S, Hanimoğlu H, Tanrıverdi T, Yentur E, Kaynar MY. Chiari type 1 malformations in adults: a morphometric analysis of the posterior cranial fossa. Surg. Neurol 2005; 64: 237-41.
- Greer M. Structural malformations, In L.P. Rowland (ed.), Merritt’s Neurology, 11th ed. Lippincott Williams Wilkings, Philadelphia 2005 p. 587-601.
- Wu CL, Berenholtz SM, Pronovost PJ, Fleisher LA. Systematic review and analysis of postdischarge symp- toms after outpatient surgery. Anesthesiology 2002; 96: 994-1003.
- Daya H, Hosni A, Bejar-Solar I, Evans JNG, Bailey M. Pediatric vocal fold paralysis: a long-term retrospective study. Arch Otolaryngol Head Neck Surg 2000; 126: 21-5.
- Rosin DF, Handler SD, Potsic WP, Wetmore RF, Tom LW. Vocal cord Paralysis in children. Laryngoscope 1990; 100: 1174-9.
- Santos PM, Afrassiabi A, Weymuller EA. Risk faktörs as- sociated with prolonged intubation and laryngeal injury. Otolaryngol Head Neck Surg 1994; 111: 453-9.
- Wason R, Gupta P, Gogia AR. Bilateral adductor vocal cord paresis following endotracheal intubation for general an- aesthesia. Anaesth Intensive Care 2004; 32: 417-8.
- Kikura M, Suziki K, Itagaki T, Takada T, Sato S. Age and comorbidity as risk factors for vocal cord paralysis associ- ated with tracheal intubation. Br. J. Anaesth 2007; 98: 524-30. 172
Öz
Vokal kord paralizisi etiyolojisi çok değişkendir. Nörolojik nedenler, doğum travması, cerrahi işlemler ve idiyopatiklik önemli nedenleri arasındadır. Klinik bulgular, paralizi türüne göre değişir. Vokal kordun paralizisi tek veya çift taraflı olarak görülebilir. Vokal kordun bilateral paralizisinde tek taraflı duruma göre daha ağır klinik bulgular görülür. Biz stridor ve siyanoz nedeniyle hastaneye yatırılan Chiari tip 2 malformasyonu ve bilateral vokal kord paralizisi tanısı alan 9 aylık erkek çocuk sunduk. Chiari tip 2 malformasyonu ile ilişkili vokal kord paralizisi ciddi solunum yetmezliği yapabilir
Anahtar Kelimeler
Kaynakça
- Aydın S, Hanimoğlu H, Tanrıverdi T, Yentur E, Kaynar MY. Chiari type 1 malformations in adults: a morphometric analysis of the posterior cranial fossa. Surg. Neurol 2005; 64: 237-41.
- Greer M. Structural malformations, In L.P. Rowland (ed.), Merritt’s Neurology, 11th ed. Lippincott Williams Wilkings, Philadelphia 2005 p. 587-601.
- Wu CL, Berenholtz SM, Pronovost PJ, Fleisher LA. Systematic review and analysis of postdischarge symp- toms after outpatient surgery. Anesthesiology 2002; 96: 994-1003.
- Daya H, Hosni A, Bejar-Solar I, Evans JNG, Bailey M. Pediatric vocal fold paralysis: a long-term retrospective study. Arch Otolaryngol Head Neck Surg 2000; 126: 21-5.
- Rosin DF, Handler SD, Potsic WP, Wetmore RF, Tom LW. Vocal cord Paralysis in children. Laryngoscope 1990; 100: 1174-9.
- Santos PM, Afrassiabi A, Weymuller EA. Risk faktörs as- sociated with prolonged intubation and laryngeal injury. Otolaryngol Head Neck Surg 1994; 111: 453-9.
- Wason R, Gupta P, Gogia AR. Bilateral adductor vocal cord paresis following endotracheal intubation for general an- aesthesia. Anaesth Intensive Care 2004; 32: 417-8.
- Kikura M, Suziki K, Itagaki T, Takada T, Sato S. Age and comorbidity as risk factors for vocal cord paralysis associ- ated with tracheal intubation. Br. J. Anaesth 2007; 98: 524-30. 172
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Bölüm | Olgu Sunumu |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Eylül 2013 |
| Yayımlandığı Sayı | Yıl 2013 Cilt: 10 Sayı: 3 |