关键词: Airway obstruction Dysphonia Parkinson Stridor Vocal fold paralysis

Mesh : Aged Dysphonia / diagnosis etiology physiopathology surgery Humans Laryngoplasty Laryngoscopy Male Parkinson Disease / complications diagnosis physiopathology Recovery of Function Stroboscopy Treatment Outcome Vocal Cord Paralysis / diagnosis etiology physiopathology surgery Vocal Cords / physiopathology surgery Voice Quality

来  源:   DOI:10.1016/j.jvoice.2017.09.007   PDF(Sci-hub)

Abstract:
OBJECTIVE: The objective of this study was to report the first case of unilateral vocal fold paralysis in a patient with Parkinson disease (PD) and to review the literature.
METHODS: This is a case report and literature review following PubMed search using the keywords \"Parkinson,\" \"vocal fold paralysis,\" \"vocal fold palsy,\" \"vocal fold immobility,\" \"vocal fold adductor palsy,\" \"airway obstruction,\" and \"stridor.\"
RESULTS: A total of 18 subjects diagnosed with PD and vocal fold paralysis were described. In all cases, the vocal fold paralysis was bilateral and the main presenting symptoms were stridor and shortness of breath necessitating intubation and tracheostomy. This article describes the first case of PD presenting with dysphonia secondary to unilateral vocal fold paralysis (left). The management consisted of injection laryngoplasty for medialization of the paralyzed vocal fold.
CONCLUSIONS: Patients with PD can present with unilateral vocal fold paralysis. Early treatment is advocated in view of the advent of injection laryngoplasty as a safe office procedure.
摘要:
目的:本研究的目的是报告1例帕金森病(PD)患者的单侧声带麻痹病例,并复习文献。
方法:这是PubMed搜索后使用关键字\"帕金森,\"\"声带麻痹,声带麻痹,\“\”声带不动,声带内收肌麻痹,\"\"气道阻塞,\"和\"stridor。“
结果:共18名被诊断为PD和声带麻痹的受试者。在所有情况下,声带麻痹是双侧的,主要症状是喘鸣和呼吸急促,需要插管和气管造口术。本文介绍了首例PD继发于单侧声带麻痹的发声障碍(左)。治疗方法包括注射喉成形术,以使麻痹的声带内侧化。
结论:PD患者可表现为单侧声带麻痹。鉴于注射喉成形术是一种安全的办公程序,因此提倡早期治疗。
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