Background:Vocal cord paralysis continues to be an important issue in laryngology and is considered as a sign of underlying disease; the etiologies of this problem are varied and changing.Aims:The study was to carry out a retrospective analysis of patients with unilateral vocal fold paralysis diagnosed.Materials and Methods:The medical records of 53 patients diagnosed and treated for unilateral vocal fold paralysis were studied retrospectively. Data regarding age, sex, duration of symptoms, etiology, and side of paralysis were recorded.Results:Out of the 53 cases, 36 were females and 17 males with a ratio of 2.1:1. The age of the patients ranged from 17-75 years. In 18.9% the cause was idiopathic. Surgical trauma (iatrogenic) problems was the most encountered etiology (66%), others included malignancy (non laryngeal) (7.5%), central (3.8%), external neck trauma (1.9%) and radiation therapy 1.9%. Thyroid surgery was the most commonly reported neck surgery in 50.9%.Conclusions:Thyroidectomy continues to be the single most common surgical procedure responsible for unilateral vocal cord paralysis. For this reason, routine pre and postoperative laryngoscopy should be considered in all patients undergoing surgeries with a potential risk for recurrent nerve paralysis to reduce the postoperative morbidity.
Objective: To evaluate the effectiveness of endoscopic repair of congenital choanal atresia by removing the posterior aspect of the vomer bone along with the atretic plate without stenting. Methods: This retrospective study included 16 children aged (6 days-13 years) who presented or referred to Queen Rania Hospital with congenital choanal atresia. Patients who had unilateral, bilateral, primary or revision cases were included in the study. All patients underwent endoscopic repair by removing the posterior aspect of the vomer bone along with the atretic plate without stenting. All patients were followed up for 18 months. Results: Four patients were males, 12 were females. Three cases had bilateral atresia, one of them was revision. 13 cases were unilateral, 5 of them were revision cases. In unilateral cases the right side was involved in 8 cases and 5 in the left side. All cases were repaired endoscopically without stenting, only one patient out of 16 patients needed revision surgery. Conclusion: Endoscopic repair of choanal atresia (unilateral or bilateral, primary or secondary) without stenting is an effective and safe method of treating choanal atresia with a high success rate.
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