Clinico-etiological Profile of Vocal Cord Paralysis

Introduction Vocal Cord Paralysis may be of central or peripheral origin based on the underlying pathology. Central Causes contribute about 10% while peripheral causes about 90% and the current study evaluated the clinical profile of vocal cord paralysis. Materials and Methods A cross-sectional...

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Main Authors: Shivakumar Senniappan, Govind Krishnan Gopalakrishnan, Chinnu Sudha Kumar, Anjali Mahendra Panicker, Visakh Kookkal Nair, Shankar Radhakrishnan
Format: Article
Language:English
Published: The Association of Otolaryngologists of India, West Bengal 2019-12-01
Series:Bengal Journal of Otolaryngology and Head Neck Surgery
Subjects:
Online Access:https://bjohns.in/journal/index.php/bjohns/article/view/521
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author Shivakumar Senniappan
Govind Krishnan Gopalakrishnan
Chinnu Sudha Kumar
Anjali Mahendra Panicker
Visakh Kookkal Nair
Shankar Radhakrishnan
author_facet Shivakumar Senniappan
Govind Krishnan Gopalakrishnan
Chinnu Sudha Kumar
Anjali Mahendra Panicker
Visakh Kookkal Nair
Shankar Radhakrishnan
author_sort Shivakumar Senniappan
collection DOAJ
description Introduction Vocal Cord Paralysis may be of central or peripheral origin based on the underlying pathology. Central Causes contribute about 10% while peripheral causes about 90% and the current study evaluated the clinical profile of vocal cord paralysis. Materials and Methods A cross-sectional observational study was conducted in the department of ENT for a period of one year. Patients with complaints of hoarseness or aspiration who on laryngoscopy examination with 45° telescope have been diagnosed to have vocal cord paralysis were included for the study. A total of 83 patients were included in our study. Results Vocal cord palsy was found most commonly after thyroidectomy (20.4%) followed by the idiopathic cause (19.2%). Certain cancers like lung cancer and neck cancers (hypopharyngeal, laryngeal and thyroid) carcinoma had also contributed significantly in the development of vocal cord palsy.  Left sided vocal cord palsy (65%) was found to be the commonest side affected followed by bilateral vocal cord palsy. Conclusion A proper protocol is necessary for identifying the factors responsible for vocal fold paralysis which would help in managing the condition more effectively. Before making a diagnosis as idiopathic vocal cord paralysis, detailed investigations should be carried out to rule out the possibilities of cancer, causing vocal cord paralysis.
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spelling doaj.art-3cecca2f99fe4b839c777db3ecb3e72b2024-04-03T04:33:26ZengThe Association of Otolaryngologists of India, West BengalBengal Journal of Otolaryngology and Head Neck Surgery2395-24072019-12-01273229234224Clinico-etiological Profile of Vocal Cord ParalysisShivakumar Senniappan0Govind Krishnan Gopalakrishnan1Chinnu Sudha Kumar2Anjali Mahendra Panicker3Visakh Kookkal Nair4Shankar Radhakrishnan5PROFESSOR AND HOD DEPARTMENT OF ENT Vinayaka Missions Kirupananda Variyar Medical College and Hospital Seeragapadi Salem TamilnaduVINAYAKA MISSIONS KIRUPANANDA VARIYAR MEDICAL COLLEGE AND HOSPITAL SEERAGAPADI SALEM TAMILNADUVINAYAKA MISSIONS KIRUPANANDA VARIYAR MEDICAL COLLEGE AND HOSPITAL SEERAGAPADI SALEM TAMILNADUVINAYAKA MISSIONS KIRUPANANDA VARIYAR MEDICAL COLLEGE AND HOSPITAL SEERAGAPADI SALEM TAMILNADUVINAYAKA MISSIONS KIRUPANANDA VARIYAR MEDICAL COLLEGE AND HOSPITAL SEERAGAPADI SALEM TAMILNADUVinayaka Missions Kirupananda Variyar medical College, SalemIntroduction Vocal Cord Paralysis may be of central or peripheral origin based on the underlying pathology. Central Causes contribute about 10% while peripheral causes about 90% and the current study evaluated the clinical profile of vocal cord paralysis. Materials and Methods A cross-sectional observational study was conducted in the department of ENT for a period of one year. Patients with complaints of hoarseness or aspiration who on laryngoscopy examination with 45° telescope have been diagnosed to have vocal cord paralysis were included for the study. A total of 83 patients were included in our study. Results Vocal cord palsy was found most commonly after thyroidectomy (20.4%) followed by the idiopathic cause (19.2%). Certain cancers like lung cancer and neck cancers (hypopharyngeal, laryngeal and thyroid) carcinoma had also contributed significantly in the development of vocal cord palsy.  Left sided vocal cord palsy (65%) was found to be the commonest side affected followed by bilateral vocal cord palsy. Conclusion A proper protocol is necessary for identifying the factors responsible for vocal fold paralysis which would help in managing the condition more effectively. Before making a diagnosis as idiopathic vocal cord paralysis, detailed investigations should be carried out to rule out the possibilities of cancer, causing vocal cord paralysis.https://bjohns.in/journal/index.php/bjohns/article/view/521vocal cord paralysis
spellingShingle Shivakumar Senniappan
Govind Krishnan Gopalakrishnan
Chinnu Sudha Kumar
Anjali Mahendra Panicker
Visakh Kookkal Nair
Shankar Radhakrishnan
Clinico-etiological Profile of Vocal Cord Paralysis
Bengal Journal of Otolaryngology and Head Neck Surgery
vocal cord paralysis
title Clinico-etiological Profile of Vocal Cord Paralysis
title_full Clinico-etiological Profile of Vocal Cord Paralysis
title_fullStr Clinico-etiological Profile of Vocal Cord Paralysis
title_full_unstemmed Clinico-etiological Profile of Vocal Cord Paralysis
title_short Clinico-etiological Profile of Vocal Cord Paralysis
title_sort clinico etiological profile of vocal cord paralysis
topic vocal cord paralysis
url https://bjohns.in/journal/index.php/bjohns/article/view/521
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AT govindkrishnangopalakrishnan clinicoetiologicalprofileofvocalcordparalysis
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AT anjalimahendrapanicker clinicoetiologicalprofileofvocalcordparalysis
AT visakhkookkalnair clinicoetiologicalprofileofvocalcordparalysis
AT shankarradhakrishnan clinicoetiologicalprofileofvocalcordparalysis