Laryngeal Electromyography is Helpful for Cardiovocal Syndrome

Akbulut, Sevtap; İnan, Rahşan; Demir, Mehmet Gökhan; Çakan, Doğan

doi:10.14712/18059694.2016.53

Cited by 2 publications

(1 citation statement)

References 12 publications

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“…The incidence is increased in CHD associated with pulmonary artery dilatation as can be seen with a large left-to-right shunt. In adults, laryngeal electromyography has been used to evaluate vocal cord paralysis, confirm the diagnosis, and define the etiology [ 18 , 19 ]. However, in infants and children, otolaryngology evaluation with flexible or rigid airway evaluation is generally indicated thereby demonstrating left vocal cord paresis.…”

Section: Discussionmentioning

confidence: 99%

Ortner’s Syndrome in an Infant With Congenital Heart Disease

et al. 2022

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Cardio-vocal or Ortner's syndrome is dysphonia or hoarseness resulting from left recurrent laryngeal nerve palsy caused by a mechanical effect on the nerve due to enlarged cardiovascular or mediastinal structures. It was first described in adults with left atrial enlargement due to mitral stenosis. To date, there are a paucity of reports regarding its occurrence in infants and children. We report hoarseness and left vocal cord paresis in an infant with a large left-to-right shunt associated with a patent ductus arteriosus. The history of Ortner's syndrome is presented, its pathogenesis described, and previous reports of its occurrence in infants and children reviewed.

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Section: Discussionmentioning

confidence: 99%

Ortner’s Syndrome in an Infant With Congenital Heart Disease

et al. 2022

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Ortner's syndrome: A systematic review of presentation, diagnosis and management

Verma,

Talwar,

Talwar

et al. 2023

IRDR

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Ortner's syndrome, cardiovocal syndrome, hoarseness Ortner's syndrome (OS), also called cardiovocal syndrome, is a rare condition hallmarked by left recurrent laryngeal nerve palsy due to underlying cardiopulmonary disease. The purpose of this review is to systemically analyze the existing literature for cases of OS to outline typical presentation, methods of diagnosis, and management of these patients. Case reports, case series, and cohort studies describing OS between 1955 and 2021 were identified. Individual manuscripts were reviewed for clinical features, presentation, and management. A total of 117 patient cases were gathered from 92 published articles. Common symptoms included hoarseness, dyspnea, cough, and dysphagia. The most common associated comorbidity was aortic aneurysm (41%), followed by pulmonary hypertension (35%), mitral stenosis (17%), and hypertension (12%). Among those who were managed via surgical intervention, 85.4% reported improvement in their hoarseness. While historically OS was associated with mitral stenosis, in recent decades, aortic aneurysms and dilation of the pulmonary artery from pulmonary hypertension have emerged as primary etiologies of OS. Therefore, OS should be considered in any patient presenting with hoarseness and history of cardiopulmonary disease. Surgical intervention in appropriate candidates resolves OS in most cases.

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Laryngeal Electromyography is Helpful for Cardiovocal Syndrome

Cited by 2 publications

References 12 publications

Ortner’s Syndrome in an Infant With Congenital Heart Disease

Ortner’s Syndrome in an Infant With Congenital Heart Disease

Ortner's syndrome: A systematic review of presentation, diagnosis and management

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