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Presse Med. 2014 Apr;43(4 Pt 1):348-52. doi: 10.1016/j.lpm.2013.07.029. Epub 2014 Feb 10.

[Unilateral laryngeal nerve paralysis in the adult: Epidemiology, symptoms, physiopathology and treatment].

[Article in French]

Author information

1
Université Paris Descartes Sorbonne Paris Cité, Assistance publique des Hôpitaux de Paris, hôpital européen Georges-Pompidou, service d'otorhinolaryngologie et de chirurgie cervico-faciale, 75015 Paris, France. Electronic address: ollivier.laccourreye@egp.aphp.fr.
2
Université Paris Descartes Sorbonne Paris Cité, Assistance publique des Hôpitaux de Paris, hôpital européen Georges-Pompidou, service d'otorhinolaryngologie et de chirurgie cervico-faciale, 75015 Paris, France.

Abstract

In France, the main causes for unilateral laryngeal nerve paralysis in the adult patient are surgery and malignant tumors. Most of unilateral laryngeal nerve paralysis following thyroid surgery will recover within the first six postoperative months. At the time of unilateral laryngeal nerve paralysis, swallowing impairment and dyspnea occur in around 30% and 5% of cases, respectively. In the face of a unilateral laryngeal nerve paralysis occurring without a history of trauma of surgery, the main paraclinical examination to perform is a computed laryngeal nerve examination analyzing the whole length of the nerve involved. Speech therapy efficiency is related to the degree of severity of the symptoms related to unilateral laryngeal nerve paralysis. In the vast majority of cases, laryngeal medialization approaches improve dysphonia and swallowing impairment related to unilateral laryngeal paralysis, but not dyspnea.

PMID:
24525308
DOI:
10.1016/j.lpm.2013.07.029
[Indexed for MEDLINE]

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