본문 바로가기
KERD
논문KCI 등재

Finding Report of Unilateral Vocal Cord Paralysis Using Computed Tomography

1

조회

0

다운로드

0

인용

0

참고문헌

키워드

주제분류방사선과학

초록

VCP (Vocal Cord Paralysis) is rare but one of most serious complications related to endotracheal intubation. This report is a clinical experience of radiography and laryngeal EMG (Electromyography) assessment for the VCP. A 50-year-old woman with hoarseness, which was occurred after urethral diverticulum excision was examined by laryngoscopy. As a result of laryngoscopy, VCP was observed in left side of her vocal cord, and then recurrent laryngeal nerve damage was detected with additional CT (Computed tomography) scan and laryngeal EMG. After that, the vocal cord movement was recovered as normal state with regular conservative treatment for the 6 months.

Abstract

VCP (Vocal Cord Paralysis) is rare but one of most serious complications related to endotracheal intubation. This report is a clinical experience of radiography and laryngeal EMG (Electromyography) assessment for the VCP. A 50-year-old woman with hoarseness, which was occurred after urethral diverticulum excision was examined by laryngoscopy. As a result of laryngoscopy, VCP was observed in left side of her vocal cord, and then recurrent laryngeal nerve damage was detected with additional CT (Computed tomography) scan and laryngeal EMG. After that, the vocal cord movement was recovered as normal state with regular conservative treatment for the 6 months.

참고문헌 (16)

  1. Domino KB, "Airway injury during anesthesia : a closed claims analysis", Anesthesiology, 91(6), pp.1703~1711 (1999)
  2. Young VN, "Voice outcome following acute unilateral vocal fold paralysis", Ann Otol Rhinol Laryngol, 122(3), pp.197~204 (2013)
  3. Paquette CM, "Unilateral vocal cord paralysis : a review of CT findings, mediastinal causes, and the course of the recurrent laryngeal nerves", Radiographics : a review publication of the Radiological Society of North America, Inc, 32(3), pp.721~740 (2012)
  4. Yumoto E, "Causes of recurrent laryngeal nerve paralysis", Auris, nasus, larynx, 29(1), pp.41~45 (2002)
  5. Tamura E, "Autologous fat augmentation of the vocal fold with basic fibroblast growth factor : Computed tomographic assessment of fat tissue survival after augmentation", Acta oto-laryngologica, 135(11), pp.1163~1167 (2015)
  6. Mengsteab PY, "Factors associated with the improvement of vocal fold movement : an analysis of LEMG and laryngeal CT parameters", Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology, 25(1), pp.1~7 (2015)
  7. Hojjat H, "Cost-effectiveness of routine computed tomography in the evaluation of idiopathic unilateral vocal fold paralysis", Laryngoscope, 127(2), pp.440~444 (2017)
  8. Focquet A, "Diagnostic and prognostic contribution of laryngeal electromyography in unilateral vocal-fold immobility in adults", Eur Ann Otorhinolaryngol Head Neck Dis, 134(1), pp.13~18 (2017)
  9. Munin MC, "Consensus statement : Using laryngeal electromyography for the diagnosis and treatment of vocal cord paralysis", Muscle &nerve, 53(6), pp.850~855 (2016)
  10. Salem MR, "Postoperative vocal cord paralysis in paediatric patients. Reports of cases and a review of possible aetiological factors", British journal of anaesthesia, 43(7), pp.696~700 (1971)
  11. Cavo JW Jr., "True vocal cord paralysis following intubation", Laryngoscope, 95(11), pp.1352~1359 (1985)
  12. Yeun Hee Shin, "Unilateral vocal cord paralysis following a short period of endotracheal intubation anesthesia", Korean Journal of Anesthesiology, 65(4), pp.357~358 (2013), 대한마취통증의학회
  13. Gómez JC, "Estimation of the optimum length of endotracheal tube insertion in adults", Colombian Journal of Anesthesiology, 44(3), pp.228~234 (2016)
  14. Kikura M, "Age and comorbidity as risk factors for vocal cord paralysis associated with tracheal intubation", British journal of anaesthesia, 98(4), pp.524~530 (2007)
  15. Seegobin RD, "Endotracheal cuff pressure and tracheal mucosal blood flow : endoscopic study of effects of four large volume cuffs", British Medical Journal(Clinical research ed), 288(6422), pp.965~968 (1984)
  16. Wang CL, "The role of the cuff leak test in predicting the effects of corticosteroid treatment on postextubation stridor", Chang Gung Medical Journal, 30, pp.53~61 (2007)

관련 논문AI추천

이 간행물의 다른 논문 (15건)