DOI QR코드

DOI QR Code

A Case of Unilateral Vocal Fold Paralysis Caused by Ortner's Syndrome

Ortner's 증후군에 의해 발생한 일측성 성대마비 1예

  • Park, Sang Hoo (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Dong-A University) ;
  • Park, Heon Soo (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Dong-A University) ;
  • Bae, Woo Yong (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Dong-A University) ;
  • Lee, Dong Kun (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Dong-A University)
  • 박상후 (동아대학교 의과대학 이비인후-두경부외과학교실) ;
  • 박헌수 (동아대학교 의과대학 이비인후-두경부외과학교실) ;
  • 배우용 (동아대학교 의과대학 이비인후-두경부외과학교실) ;
  • 이동근 (동아대학교 의과대학 이비인후-두경부외과학교실)
  • Received : 2019.11.21
  • Accepted : 2019.11.28
  • Published : 2019.12.30

Abstract

The causes of vocal cord paralysis include iatrogenic injury during thyroid or cervical surgery, heart and chest surgery, and tumorous lesion such as laryngeal cancer and lung cancer. In addition to these common causes, rarely, cardiovascular disease can also cause vocal fold paralysis. A disease known as Cardiovocal syndrome, or Ortner's syndrome, causes left vocal fold paralysis when the left recurrent laryngeal nerve is compressed by the pulmonary artery and aorta, which is occurred by pulmonary hypertension from heart disease. We report for the first case in Korea the diagnosis of vocal fold paralysis caused by Ortner's syndrome.

Keywords

References

  1. Benninger MS, Gillen JB, Altman JS. Changing etiology of vocal fold immobility. Laryngoscope 1998;108(9):1346-50. https://doi.org/10.1097/00005537-199809000-00016
  2. Ortner N. Recurrent laryngeal nerve paralysis due to mitral valve stenosis. Wien Klin Wochenschr 1897;10:753-5.
  3. Solanki SV, Yajnik VH. Ortner's syndrome. Indian Heart J 1972;24(1):43-6.
  4. Song SW, Jun BC, Cho KJ, Lee S, Kim YJ, Park SH. CT evaluation of vocal cord paralysis due to thoracic diseases: a 10-year retrospective study. Yonsei Med J 2011;52(5):831-7. https://doi.org/10.3349/ymj.2011.52.5.831
  5. Paquette CM, Manos DC, Psooy BJ. Unilateral vocal cord paralysis: a review of CT findings, mediastinal causes, and the course of the recurrent laryngeal nerves. Radiographics 2012;32(3):721-40. https://doi.org/10.1148/rg.323115129
  6. Zaki SA, Asif S, Shanbag P. Ortner syndrome in infants. Indian Pediatr 2010;47(4):351-3. https://doi.org/10.1007/s13312-010-0053-y
  7. Heikkinen J, Milger K, Alejandre-Lafont E, Woitzik C, Litzlbauer D, Vogt JF, et al. Cardiovocal syndrome (ortner's syndrome) associated with chronic thromboembolic pulmonary hypertension and giant pulmonary artery aneurysm: case report and review of the literature. Case Rep Med 2012;2012:230736. https://doi.org/10.1155/2012/230736
  8. Monwarul Islam AK, Zaman S, Doza F. Ortner syndrome due to concomitant mitral stenosis and bronchiectasis. Korean Circ J 2012;42(7):507-10. https://doi.org/10.4070/kcj.2012.42.7.507
  9. Tammiraju I, Radha Krishna T, Vittal Prasad P, Jagadish Babu K. Ortner's syndrome (cardio vocal hoarseness)-a rare entity in modern era. a case report. IHJ Cardiovascular Case Reports (CVCR) 2018;2(2):82-4. https://doi.org/10.1016/j.ihjccr.2018.02.006