A Case of Bilateral Vocal Fold Paralysis from Acromegaly

말단 비대증 환자에서 발생한 양측성대마비 1예

  • Park, Min-Woo (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine and Research Center for Sensory Organs, Medical Research Center, Seoul National University) ;
  • An, Soo-Youn (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine and Research Center for Sensory Organs, Medical Research Center, Seoul National University) ;
  • Roh, Dong-Hwan (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine and Research Center for Sensory Organs, Medical Research Center, Seoul National University) ;
  • Kwon, Tack-Kyun (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine and Research Center for Sensory Organs, Medical Research Center, Seoul National University)
  • 박민우 (서울대학교 의과대학 이비인후-두경부외과학교실, 의학원 감각기관 연구소) ;
  • 안수연 (서울대학교 의과대학 이비인후-두경부외과학교실, 의학원 감각기관 연구소) ;
  • 노동환 (서울대학교 의과대학 이비인후-두경부외과학교실, 의학원 감각기관 연구소) ;
  • 권택균 (서울대학교 의과대학 이비인후-두경부외과학교실, 의학원 감각기관 연구소)
  • Published : 2009.06.15

Abstract

Acromegalic patients can develop mild upper airway obstruction. However, the limitation of both vocal folds mobility developing dyspnea is rare. We report a case with bilateral vocal cord paralysis associated with acromegaly. The patient visited our clinic presenting dyspnea showing bilateral vocal cord hypomobility in laryngoscopy. The patient underwent a tracheostomy and a transsphenoidal resection of the pituitary adenoma. Thereafter, laser cordotomy with medial arytenoidectomy was done for the permanent treatment of glottal obstruction. The tracheotomy canula was successfully removed one month after the surgery.

Keywords