Bilateral vocal fold hypomobility : a management dilemma / Jonathan G. Lopez ; Antonio M. Sia, Jr. ; Rebecca R. Feliciano.

By:

Lopez, Jonathan G., MD [author]

Contributor(s):

Language: English Publication details: Fairview, Quezon City Department of Otolaryngology, FEU-NRMF, 2012Description: 24 pages: illustrations and photos (black and white); (in folder)Content type:

text

Media type:

unmediated

Carrier type:

volume

LOC classification:

ENT20120002

Summary: ABSTRACT: This report aims to present a case of bilateral vocal fold hypomobility. More specifically, it aims to describe the clinical features of the disease, discuss the differential diagnosis and to present the therapeutic dilemma. This is a case of a 53 year old male with hoarseness of eleven years duration characterrized as effortful, weak, breathy, and hoarse voice, with no history of trauma, infections or any neurologic diseases. The patient consulted an ENT specialist wherein rigid fiberoptic laryngoscopy was done and revealed a right vocal fold paresis. Unrecalled medications were given which afforded no relief. After a few months, he consulted another ENT specialist wherein another rigid fiberoptic laryngoscopy was done which revealed hypomobility of the right vocal fold. Chest X-ray, CT scan of the Chest and laryngeal EMG were also done which revealed normal results. He was then advised watchful observation. After six years, the patient decided to consult in our institution for the possibility to improve his voice. Rigid fiber optic laryngoscopy was done and now revealed bilateral vocal fold hypomobility. Based on elimination of causes from history, physical examination, radiography and laryngeal EMG, a consideration of arytenoid fixation was made. Management options such as medializationlaryngosplasty, artenoid adduction, laryngeal reinnervation and vocal fold medialization using fat injection are discussed in this report.

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Item type	Current library	Call number	Status	Date due	Barcode
Research	Far Eastern University - Nicanor Reyes Medical Foundation Research	ENT20120002 (Browse shelf(Opens below))	Available		R000363

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Includes appendices and bibliographical references.

ABSTRACT: This report aims to present a case of bilateral vocal fold hypomobility. More specifically, it aims to describe the clinical features of the disease, discuss the differential diagnosis and to present the therapeutic dilemma. This is a case of a 53 year old male with hoarseness of eleven years duration characterrized as effortful, weak, breathy, and hoarse voice, with no history of trauma, infections or any neurologic diseases. The patient consulted an ENT specialist wherein rigid fiberoptic laryngoscopy was done and revealed a right vocal fold paresis. Unrecalled medications were given which afforded no relief. After a few months, he consulted another ENT specialist wherein another rigid fiberoptic laryngoscopy was done which revealed hypomobility of the right vocal fold. Chest X-ray, CT scan of the Chest and laryngeal EMG were also done which revealed normal results. He was then advised watchful observation. After six years, the patient decided to consult in our institution for the possibility to improve his voice. Rigid fiber optic laryngoscopy was done and now revealed bilateral vocal fold hypomobility. Based on elimination of causes from history, physical examination, radiography and laryngeal EMG, a consideration of arytenoid fixation was made. Management options such as medializationlaryngosplasty, artenoid adduction, laryngeal reinnervation and vocal fold medialization using fat injection are discussed in this report.

Research - Department of Otolaryngology

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