Palsy of The Vocal Cords

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added:
14 years ago
views:
12669
specialty:
Otorhinolaryngology

Case description

In this video we can see a paralysed right vocal fold in a paramedian position. It was caused by an infiltration by papillary thyroid carcinoma with intra-tracheal spread after total thyroidectomy. The signs of the right vocal cord are typical: bowing and atrophy. The arytenoid complex appears falling anteriorly. A significant gap between both vocal cord, which correlates with the degree of hoarseness, was revealed attempt on phonation. We can also see a subglottic mass which caused significant airway obstruction needing a tracheostomy. Probably because of a squeal of reflux laryngitis the arytenoids are mildly reddish. Behind the right aryepiglottic fold there is a small cyst.

tags: atrophy hoarseness papillary thyroid carcinoma paralysed right vocal fold subglottic mass total thyroidectomy tracheostomy


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