Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics (대한후두음성언어의학회지)

The Korean Society of Laryngology, Phoniatrics and Logopedics. (대한후두음성언어의학회)
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A Case of Bilateral Vocal Fold Paralysis Induced by Concurrent Rheumatoid Arthritis Involvement of Laryngeal Nerve and Cricoarytenoid Joint

윤상피열관절과 후두신경을 동시에 침범하여 양측성대마비를 유발한 류마티스 관절염 1예

  • Park, Yun Hwi (Department of Otorhinolaryngology-Head and Neck Surgery, Ewha Womans University, School of Medicine) ;
  • Kim, Han Su (Department of Otorhinolaryngology-Head and Neck Surgery, Ewha Womans University, School of Medicine) ;
  • Jung, Sung Min (Department of Otorhinolaryngology-Head and Neck Surgery, Ewha Womans University, School of Medicine) ;
  • Jung, Soo Yeon (Department of Otorhinolaryngology-Head and Neck Surgery, Ewha Womans University, School of Medicine)
  • 박윤희 (이화여자대학교 의과대학 이비인후과학교실) ;
  • 김한수 (이화여자대학교 의과대학 이비인후과학교실) ;
  • 정성민 (이화여자대학교 의과대학 이비인후과학교실) ;
  • 정수연 (이화여자대학교 의과대학 이비인후과학교실)
  • Received : 2016.10.20
  • Accepted : 2016.11.04
  • Published : 2016.12.30
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Abstract

Rheumatoid arthritis (RA) is a connective tissue disease involving the larynx in 30 % of the patients. Foreign body sensation, hoarseness, and cough are common symptoms in laryngeal involvement. An urgent tracheostomy is required when acute airway obstruction occurs in case of bilateral vocal fold paralysis. The most common cause of bilateral vocal fold paralysis in RA patients is a cricoarytenoid joint arthritis. Laryngeal nerve degeneration is rare cause of bilateral vocal fold paralysis in RA patients. In this case report, an emergent tracheostomy was performed on a 64-years-old male patient with acute dyspnea, and concurrent involvement of RA on laryngeal nerve and cricoarytenoid joint was revealed by laryngeal electromyography and histopathology. The vocal fold mobility was restored after 3-months medical treatment.

Keywords

References

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