Case Series
Volume 11 Issue 5 - 2022
Assessment and Management of Bilateral Vocal Cord Paralysis in Three Cases: Case Series
Hanan Almuzaini1,2*, Maria Schuster1, Martin Patscheider1 and Martin Holzer1
1Department of Otorhinolaryngology, Head and Neck Surgery, Ludwig-Maximilians-University of Munich, Marchioninistrasse Munich, Germany
2Department of Otorhinolaryngology, Head and Neck Surgery, Taibah University, Janadah bin Umayyah Road, Taybah, Medina, Saudi Arabia
*Corresponding Author: Hanan Almuzaini, Department of Otorhinolaryngology; Head and Neck, Taibah University, Janadah bin Umayyah Road, Taybah, Medina Saudi Arabia.
Received: January 18, 2022; Published: May 31, 2022




Abstract

Objectives: Glottic stenosis leads to respiratory restrictions. Factors like daytime dyspnea and nighttime respiratory restrictions, including obstructive sleep apnea (OSA), should be considered before deciding on a suitable mode for therapy. We aimed to demonstrate clinical pathways to analyze and compare approaches for the management of chronic bilateral vocal fold palsy (BVFP). A decision tree is presented for surgical therapy, continuous positive airway pressure (CPAP) therapy, or no therapy.

Subjects and Methods: The case reports of 3 patients (1 woman and 2 men) aged between 78 and 88 years who presented with dyspnea due to BVFP are described in this case series. Clinical examinations included laryngoscopy using a rigid or flexible transnasal laryngoscope with video documentation of the laryngeal morphology and respiratory motility of the vocal folds, full-night polysomnography (PSG), and spirometry. Treatment procedures comprised CPAP or surgical therapy involving unilateral posterior cordotomy with or without arytenoidectomy.

Conclusion: We propose a diagnostic pathway using laryngoscopy, spirometry, and polysomnography results to aid in the decision-making process for treatment of BVFP in older patients.

Keywords: Bilateral Vocal Fold Palsy; Obstructive Sleep Apnea; Cordotomy; Arytenoidectomy; CPAP

References

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Citation: Hanan Almuzaini., et al. “Assessment and Management of Bilateral Vocal Cord Paralysis in Three Cases: Case Series”. EC Pulmonology and Respiratory Medicine 11.6 (2022): 36-42.

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