Hoarseness revealing a rare pathology

Righini, C.A.; Nadour, K.; Reyt, É.

doi:10.1016/j.anorl.2012.09.006

Cited by 2 publications

(1 citation statement)

References 6 publications

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“…As in our case, many patients with cardiovocal syndrome secondary to aortic aneurysms are poor surgical candidates for correction of their vocal fold immobility and may benefit from either office-based transoral injection medialization or a medialization thyroplasty under local anesthesia [ 9 ]. While Ortner's syndrome secondary to aortic dissection or aneurysm rupture is rare, there appear to be an increasing number of published case reports regarding aortic aneurysms presenting with hoarseness in the last decade [ 3 , 5 – 7 , 9 – 12 ]. This may reflect improved diagnosis and survival secondary to medical and surgical advances.…”

Section: Discussionmentioning

confidence: 99%

Acute Contained Ruptured Aortic Aneurysm Presenting as Left Vocal Fold Immobility

Gnagi

Howard

Hoxworth

et al. 2015

Case Reports in Otolaryngology

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Objective. To recognize intrathoracic abnormalities, including expansion or rupture of aortic aneurysms, as a source of acute onset vocal fold immobility. Methods. A case report and review of the literature. Results. An 85-year-old female with prior history of an aortic aneurysm presented to a tertiary care facility with sudden onset hoarseness. On laryngoscopy, the left vocal fold was immobile in the paramedian position. A CT scan obtained that day revealed a new, large hematoma surrounding the upper descending aortic stent graft consistent with an acute contained ruptured aortic aneurysm. She was referred to the emergency department for evaluation and treatment by vascular surgery. She was counseled regarding surgical options and ultimately decided not to pursue further treatment. Her vocal fold immobility was subsequently treated via office-based injection medialization two weeks after presentation and again 5 months after the initial injection which dramatically improved her voice. Follow-up CT scan at 8 months demonstrated a reduction of the hematoma. The left vocal cord remains immobile to date. Conclusion. Ortner's syndrome, or cardiovocal syndrome, is hoarseness secondary to left recurrent laryngeal nerve palsy caused by cardiovascular pathology. It is a rare condition and, while typically presenting gradually, may also present with acute symptomatology.

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Section: Discussionmentioning

confidence: 99%

Acute Contained Ruptured Aortic Aneurysm Presenting as Left Vocal Fold Immobility

Gnagi

Howard

Hoxworth

et al. 2015

Case Reports in Otolaryngology

View full text Add to dashboard Cite

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Hoarseness Due to Aortic Arch Aneurysms

Yuan¹

2020

Braz J Cardiovasc Surg

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Objective To give an overview of the Ortner’s syndrome caused by an aortic arch aneurysm. Methods By comprehensive retrieval of the pertinent literature published in the past two decades, 75 reports including 86 patients were collected and recruited into this study along with a recent case of our own. Results The aortic arch aneurysms causing hoarseness were most commonly mycotic aneurysms. In this patient setting, in addition to the left recurrent laryngeal nerve, trachea was the most commonly affected structure by the aortic arch aneurysm. Surgical/interventional/hybrid treatments led to a hoarseness-relieving rate of 64.3%, much higher than that of patients receiving conservative treatment. However, hoarseness recovery took longer time in the surgically treated patients than in the interventionally treated patients. Conclusion The surgical and interventional treatments offered similar hoarseness-relieving effects. Surgical or interventional treatment is warranted in such patients for both treatment of arch aneurysms and relief of hoarseness.

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Hoarseness revealing a rare pathology

Cited by 2 publications

References 6 publications

Acute Contained Ruptured Aortic Aneurysm Presenting as Left Vocal Fold Immobility

Acute Contained Ruptured Aortic Aneurysm Presenting as Left Vocal Fold Immobility

Hoarseness Due to Aortic Arch Aneurysms

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