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KMID : 1004320160270020130
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Journal of the Korean Society of Logopedics and Phoniatrics
2016 Volume.27 No. 2 p.130 ~ p.133
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A Case of Bilateral Vocal Fold Paralysis Induced by Concurrent Rheumatoid Arthritis Involvement of Laryngeal Nerve and Cricoarytenoid Joint
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Park Yun-Hwi
Kim Han-Su
Chung Sung-Min
Jung Soo-Yeon
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Abstract
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Rheumatoid arthritis (RA) is a connective tissue disease involving the larynx in 30 % of the patients. Foreign body sensation, hoarseness, and cough are common symptoms in laryngeal involvement. An urgent tracheostomy is required when acute airway obstruction occurs in case of bilateral vocal fold paralysis. The most common cause of bilateral vocal fold paralysis in RA patients is a cricoarytenoid joint arthritis. Laryngeal nerve degeneration is rare cause of bilateral vocal fold paralysis in RA patients. In this case report, an emergent tracheostomy was performed on a 64-years-old male patient with acute dyspnea, and concurrent involvement of RA on laryngeal nerve and cricoarytenoid joint was revealed by laryngeal electromyography and histopathology. The vocal fold mobility was restored after 3-months medical treatment.
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KEYWORD
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Rheumatoid arthritis, Vocal fold paralysis, Neuropathy, Cricoarytenoid joint
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