Recurrent Laryngeal Nerve Paralysis. A 10-Year Review of 564 Patients

Yamada, Masanobu; Hirano, Minoru; Ohkubo, Hiroshi

doi:10.1016/s0385-8146(83)80001-7

Cited by 90 publications

(48 citation statements)

References 15 publications

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“…Regarding the statistical observations on sex in vocal cord paralysis, there are reports describing a slightly high er incidence in either males [4,7] or females [6] or an overwhelmingly higher incidence in males [5]. The present study showed a high incidence in male patients.…”

Section: Study O F Sex Age Distribution and Side O F Paralysissupporting

confidence: 45%

“…In contrast, in the Japanese sta tistics, Hirose et al [6] reported, among 750 cases, 27 cases of lung cancer, 19 cases of thyroid cancer and 9 cases of mediastinal tumor. Yamada et al [7] described, among 564 cases, 32 cases of thyroid cancer, 31 cases of lung can cer, followed by 15 cases of esophageal cancer, indicating a relatively high incidence of thyroid cancer. In our own experience, 28 cases of thyroid cancer were detected.…”

Section: Study O F Primary Diseasementioning

confidence: 99%

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Statistical Analysis of Malignant Tumors Detected as the Cause of Vocal Cord Paralysis

Furukawa¹,

Furukawa²,

Ooishi³

1994

ORL

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It is well known that vocal cord paralysis is sometimes the only sign of an otherwise symptom-free malignant tumor. We report 69 cases of vocal cord paralysis caused by malignant tumor experienced at our clinic over the past 18 years. They consisted of 28 cases of thyroid cancer, 21 lung cancer, 14 esophageal cancer, 3 mediastinal tumors and 3 tumors of miscellaneous origin: 41 cases were male and 28 female. In the 65 patients with unilateral paralysis, the left side was affected in 45 and the right in 20. The remaining 4 patients had bilateral paralysis. There was a marked sex difference in the origin of malignant tumors; the incidence of lung cancer was higher in males with paralysis on the left side, while that of thyroid cancer was higher in females. Ultrasonography (US) of the neck, chest X-ray, CT scan of the chest and contrast esophagography should be performed for the detection of malignant tumors in cases with left paralysis, while US of the neck and chest X-ray appear to be sufficient in cases of right paralysis.

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Section: Study O F Sex Age Distribution and Side O F Paralysissupporting

confidence: 45%

Section: Study O F Primary Diseasementioning

confidence: 99%

Statistical Analysis of Malignant Tumors Detected as the Cause of Vocal Cord Paralysis

Furukawa¹,

Furukawa²,

Ooishi³

1994

ORL

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“…However, overall the above data indicated that there were 1,526 females with recurrent laryngeal nerve paralysis (48.5%) and 1,618 males (51.5%) [64]. Therefore, there was no significant difference in the number of patients between the two sexes.…”

Section: Recurrent Laryngeal Nervementioning

confidence: 77%

“…With respect to sex, males with recurrent laryngeal nerve paralysis were more frequent than females in some reports [59][60][61][62][63][64][65] whereas in some other reports [66][67][68], there were more females than males with that condition. However, overall the above data indicated that there were 1,526 females with recurrent laryngeal nerve paralysis (48.5%) and 1,618 males (51.5%) [64].…”

Section: Recurrent Laryngeal Nervementioning

confidence: 99%

The Relationship Between Sexually Dimorphic Peripheral Nerves and Diseases

Moriyama¹

2013

Sexual Dimorphism

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“…Bu durumda ileri ya hastalarda maligniteler açÖsÖndan daha dikkatli olmalÖyÖz. Eski serilerde ya gözetmeksizin idiopatik UVKP etiyolojide ilk sÖralarda yer almaktaydÖ (24)(25)(26)(27) …”

Section: Gereç Ve Yöntemlerunclassified

Unilateral vokal kord paralizisi: etiyolojik faktörlerin demografik verilerle karşılaştırılması

ÜNLÜ¹,

TÜZÜNER²,

DEMİRCİ³

et al. 2016

Ankara Üniversitesi Tıp Fakültesi Mecmuası

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Amaç:Unilateral vokal kord paraizileri (UVKP) vokal kordlarÖn sinirin etkilenme düzeyine ba lÖ olarak farklÖ pozisyonlarda fikse olmasÖyla karakterizedir. Rekürren laringeal sinir ve vagal sinirin uzun seyri boyunca kar Öla tÖ Ö herhangi bir lezyon vokal kord paralizisine neden olabilir.Bu çalÖ manÖn amacÖ UVKPnin nedenlerini ve hastalarÖn demografik verilerini incelemektir.Yöntemler: 2013-2015 yÖllarÖ arasÖnda klini imize ba vuran 47 UVKP hastasÖnÖ etiyolojik açÖdan incelendi ve ya , cinsiyet ve lezyonun tarafÖna göre de erlendirildi. 40 ya altÖ (15 hasta) ve 40 ya üstü (32 hasta) hastalar iki grup halinde etiyolojik nedene göre kar Öla tÖrÖldÖ.Bulgular: KadÖn ve erkek sayÖlarÖ arasÖnda istatistiksel olarak anlamlÖ bir fark izlenmedi (p=0,307). Sa ve sol taraflÖ lezyonlar arasÖnda istatistiksel olarak anlamlÖ bir fark izlenmedi (p=0,884). Tiroidektomi en sÖk UVKP nedeniydi (%55,3). 40 ya üstünde tiroidektomi en sÖk nedenken (%68,7 p=0,017), bunu maligiteler takip etmekteydi.40 ya altÖnda en sÖk cerrahi olmayan nedenler olarak bulundu (%66,7 p=0,028). Cerrahi olmayan nedenlerin en ba Önda ise idiopatik UVKP yer almaktaydÖ. Tiroidektomi ise 40 ya altÖnda ikinci sÖklÖkta görü-len nedendi. Cinsiyetler arasÖnda etiyolojide bir fark izlenmedi. Sadece idiopatik UVKP hastalarÖnda taraf üstünlü ü mevcuttu ve bu grupta taraf üstünlü ü sol tarafaydÖ.Sonuç: UVKP klinikte glottik yetmezlik yapan en sÖk nedenlerden biri olup etyolojinin belirlenmesi prognoz ve ek hastalÖklarÖn tespiti açÖsÖndan oldukça önemlidir. Özellikle 40 ya üstü vakalarda maligniteler UVKP nin sÖk nedenlerinden biri oldu undan ayrÖntÖlÖ fizik muayene ve görüntüleme yöntemleri ile inceleme yapÖlma-lÖdÖr.Anahtar Sözcükler: Unilateral Vokal Kord Paralizisi, Tirodektomi, Rekürren Laringeal Sinir Objective: Unilateral vocal cord paralysis (UVCP) is characterized with fixation of vocal cords at different positions depending on the level where the nerves is affected. Along the long course of recurrent laryngeal and vagal nerve any lesion may lead to vocal cord paralysis. The aim of this study is to analyse causes of UVCP and demographic findings of the patents. Methods:We reviewed 47 patients with UVCP who applied to our clinic between 2013-2015 etiologically and analysed them according to age, gender and side of the lesion. We compare patients in two groups, under 40 years old (15 patients) and over 40 years old (32 patients) according to their ethiology.Results: There was no statistically significant difference between the numbers of male and female patients (p=0,307). There was no statistically significant difference between right and left sided lesions (p=0,884). Thyroidectomy was the most frequent cause of UVCP (55,3%). While thyroidectomy was the most common cause over the age of 40 (68,7% p=0,017), this was followed by malignancies. We found nonsurgical causes as the most common cause under the age of 40 (66,7% p=0,028). Among them idiopathic UVCP was at the top of the nonsurgical causes. Thyroidectomy was the second common cause under the age of 40. Th...

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Recurrent Laryngeal Nerve Paralysis. A 10-Year Review of 564 Patients

Cited by 90 publications

References 15 publications

Statistical Analysis of Malignant Tumors Detected as the Cause of Vocal Cord Paralysis

Statistical Analysis of Malignant Tumors Detected as the Cause of Vocal Cord Paralysis

The Relationship Between Sexually Dimorphic Peripheral Nerves and Diseases

Unilateral vokal kord paralizisi: etiyolojik faktörlerin demografik verilerle karşılaştırılması

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