دورية أكاديمية
Recurrent laryngeal nerve paralysis associated with thoracic aortic aneurysm.
| العنوان: | Recurrent laryngeal nerve paralysis associated with thoracic aortic aneurysm. |
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| المؤلفون: | Teixido MT; Department of Otolaryngology, Head and Neck Surgery, Loyola University Medical Center, Maywood, IL 60153., Leonetti JP |
| المصدر: | Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery [Otolaryngol Head Neck Surg] 1990 Feb; Vol. 102 (2), pp. 140-4. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wiley Country of Publication: England NLM ID: 8508176 Publication Model: Print Cited Medium: Print ISSN: 0194-5998 (Print) Linking ISSN: 01945998 NLM ISO Abbreviation: Otolaryngol Head Neck Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2023- : [Oxford] : Wiley Original Publication: [Rochester, Minn.] : The Academy, [c1981- |
| مواضيع طبية MeSH: | Laryngeal Nerves* , Recurrent Laryngeal Nerve*, Aortic Aneurysm/*complications , Vocal Cord Paralysis/*etiology, Aged ; Aorta, Thoracic/surgery ; Aortic Aneurysm/surgery ; Hoarseness/etiology ; Humans |
| مستخلص: | The association of vocal cord dysfunction with thoracic aortic aneurysm (TAA) has been noted in the cardiovascular and otolaryngologic literature. A retrospective review of 168 cases of TAA was performed in order to: (1) define the natural history of associated recurrent laryngeal nerve paralysis (RLNP) and (2) propose mechanisms for the development of RLNP in operated and nonoperated aneurysms. Of 168 aneurysms, 5% manifested hoarseness secondary to RLNP. All had type I aneurysms. Only one patient regained vocal cord function after surgical treatment of the aneurysm. RLNP developed as a sequela of TAA repair in 12% of the patients managed surgically. RLNP associated with TAA type III repair had a higher incidence of recovery than paralysis that occurred after TAA type I repair (40% vs. 0% recovery). Sixty-six percent of all patients with permanently paralyzed larynges in this series attained glottic competence sufficient to avoid Teflon injection, and 27% of all RLNP associated with TAA in this series required Teflon injection for aspiration, severe dysphonia, or both. Seventeen percent of the patients with vocal cord paralysis associated with TAA recovered within 12 months. Aneurysm classification and pertinent anatomic relationships are discussed with reference to various mechanisms of recurrent laryngeal nerve paralysis. |
| تواريخ الأحداث: | Date Created: 19900201 Date Completed: 19900726 Latest Revision: 20170214 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1177/019459989010200207 |
| PMID: | 2113238 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 0194-5998 |
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| DOI: | 10.1177/019459989010200207 |