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J Korean Soc Laryngol Phoniatr Logop > Volume 20(1); 2009 > Article
Journal of The Korean Society of Laryngology, Phoniatrics and Logopedics 2009;20(1): 68-70.
말단 비대증 환자에서 발생한 양측성대마비 1예
박민우, 안수연, 노동환, 권택균
서울대학교 의과대학 이비인후-두경부외과학교실, 의학원 감각기관 연구소
A Case of Bilateral Vocal Fold Paralysis from Acromegaly
Min-Woo Park, Soo-Youn An, Dong-Hwan Roh, Tack-Kyun Kwon
Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine and Research Center for Sensory Organs, Medical Research Center, Seoul National University
ABSTRACT
Acromegalic patients can develop mild upper airway obstruction. However, the limitation of both vocal folds mobility developing dyspnea is rare. We report a case with bilateral vocal cord paralysis associated with acromegaly. The patient visited our clinic presenting dyspnea showing bilateral vocal cord hypomobility in laryngoscopy. The patient underwent a tracheostomy and a transsphenoidal resection of the pituitary adenoma. Thereafter, laser cordotomy with medial arytenoidectomy was done for the permanent treatment of glottal obstruction. The tracheotomy canula was successfully removed one month after the surgery.
KEY WORDS: Acromegaly;Bilateral vocal cord paralysis;
중심 단어: 말단비대증;성대마비;
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