Postoperative Vocal Cord Paralysis After Retrieval of a Fishbone Penetrating the Recurrent Laryngeal Nerve.

Ear Nose Throat J

Department of Otolaryngology-Head & Neck Surgery, West China Hospital, Sichuan University, Chengdu, China.

Published: September 2025


Category Ranking

98%

Total Visits

921

Avg Visit Duration

2 minutes

Citations

20

Article Abstract

A migratory fishbone is not a rare case in otorhinolaryngology clinics in Asia. Deep neck infection is a common complication, and several cases of preoperative vocal cord paralysis have been reported. However, postoperative vocal cord paralysis after the retrieval of a fishbone penetrating the recurrent laryngeal nerve has not been documented. Herein, we present such a case to improve related knowledge and emphasize the importance of preoperative evaluation, the prediction of prognosis, and the risk of postoperative unrecoverable vocal paralysis.

Download full-text PDF

Source
http://dx.doi.org/10.1177/01455613251329740DOI Listing

Publication Analysis

Top Keywords

vocal cord
12
cord paralysis
12
postoperative vocal
8
paralysis retrieval
8
retrieval fishbone
8
fishbone penetrating
8
penetrating recurrent
8
recurrent laryngeal
8
laryngeal nerve
8
paralysis
4

Similar Publications

Vocal tract contribution to vocal intensity: Interaction between vocal fold adduction, formant tuning, and fundamental frequency.

J Acoust Soc Am

September 2025

Department of Head and Neck Surgery, University of California, Los Angeles, 31-24 Rehab Center, 1000 Veteran Avenue, Los Angeles, California 90095-1794, USA.

The goal of this study was to understand the interaction between the voice source spectral shape, formant tuning, and fundamental frequency in determining the vocal tract contribution to vocal intensity. Computational voice simulations were performed with parametric variations in both vocal fold and vocal tract configurations. The vocal tract contribution to vocal intensity was quantified as the difference in the A-weighted sound pressure level between the radiated sound pressure and the sound pressure at the glottis.

View Article and Find Full Text PDF

Background: The benefits of intraoperative nerve monitoring for identifying recurrent laryngeal nerves during esophageal cancer surgery have recently been reported. However, no standardized procedures have been established for the use of this system. This study aimed to identify factors affecting the diagnostic accuracy of intraoperative nerve monitoring for recurrent laryngeal nerve palsy and explore approaches to improve the precision and efficiency of intraoperative nerve monitoring in esophageal cancer surgery.

View Article and Find Full Text PDF

Multiple system atrophy (MSA) is a progressive, adult-onset neurodegenerative disorder involving autonomic failure, cerebellar ataxia, and parkinsonism. Patients often require invasive interventions, such as gastrostomy or tracheostomy, and sudden death is common. This study aimed to elucidate patterns of invasive treatment and identify risk factors for tracheostomy or sudden death within 5 years of onset.

View Article and Find Full Text PDF

Glottic insufficiency results from impaired vocal fold contact, leading to a gap between the folds and manifesting as hoarseness and respiratory difficulties. Vocal folds injection is a commonly utilized therapeutic approach to rectify this gap by augmenting vocal folds volume; however, the optimal injectable material remains undetermined. Dedifferentiated fat cells (DFATs), derived from mature adipocytes, exhibit robust proliferative capacity and multipotency, establishing them as potential candidates for treating glottic insufficiency.

View Article and Find Full Text PDF

Manuscript title-Leonine facies and hoarseness in disseminated histoplasmosis: A diagnostic pitfall.

Trop Doct

September 2025

Professor and Head, Department of Dermatology, Venereology and Leprosy, King George's Medical University, Lucknow, Uttar Pradesh, India.

A 56-year old immuno-competent male from a non-endemic region in India presented with progressive weight loss, hoarseness of voice and widespread cutaneous lesions, including leonine facies, genital nodules and diffuse scaling. Magnetic resonance imaging of the neck revealed oedematous thickening of the false vocal cords, epiglottis and aryepiglottic folds, suggesting laryngeal involvement. All routine investigations were normal.

View Article and Find Full Text PDF