A clinical study of adult bilateral laryngeal paralysis

Bilateral laryngeal paralysis (BLP) leads to respiratory problems such as dyspnea which can cause a critical condition, so it is important to consider whether tracheostomy should be performed as an emergency procedure. This study examined 39 cases (9.6%) with BLP in 405 cases with laryngeal paralysi...

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Bibliographic Details
Published inJOURNAL OF JAPAN SOCIETY FOR HEAD AND NECK SURGERY Vol. 24; no. 1; pp. 69 - 73
Main Authors Kasugai, Shigeru, Watanabe, Shoji, Akazawa, Yoshihiro, Mikami, Koshi, Saito, Yoshimitsu, Koizuka, Izumi
Format Journal Article
LanguageJapanese
English
Published JAPAN SOCIETY FOR HEAD AND NECK SURGERY 2014
Subjects
bilateral laryngeal paralysis
cardiovascular surgery
tracheostomy
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Summary:Bilateral laryngeal paralysis (BLP) leads to respiratory problems such as dyspnea which can cause a critical condition, so it is important to consider whether tracheostomy should be performed as an emergency procedure. This study examined 39 cases (9.6%) with BLP in 405 cases with laryngeal paralysis, including 10 (25.6%) caused by surgeries (7 with cardiovascular disease and 3 with thyroid disease), and 8 (20.5%) idiopathic cases. Cardiovascular surgeons should consider an unexpectedly high complication rate of BLP after surgery. As for treatment, we performed a tracheostomy in 18 cases; the decision as to whether tracheostomy is necessary is often made by an otolaryngologist. We base the decision on dyspneic degree, vocal folds, and causative disease.
ISSN:1349-581X
1884-474X
DOI:10.5106/jjshns.24.69