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J Korean Soc Laryngol Phoniatr Logop > Volume 27(2); 2016 > Article
Journal of The Korean Society of Laryngology, Phoniatrics and Logopedics 2016;27(2): 130-133.
doi: https://doi.org/10.22469/jkslp.2016.27.2.130
윤상피열관절과 후두신경을 동시에 침범하여 양측성대마비를 유발한 류마티스 관절염 1예
박윤희, 김한수, 정성민, 정수연
이화여자대학교 의과대학 이비인후과학교실
A Case of Bilateral Vocal Fold Paralysis Induced by Concurrent Rheumatoid Arthritis Involvement of Laryngeal Nerve and Cricoarytenoid Joint
Yun Hwi Park, Han Su Kim, Sung Min Jung, Soo Yeon Jung
Department of Otorhinolaryngology-Head and Neck Surgery, Ewha Womans University, School of Medicine, Seoul, Korea
Correspondence  Soo Yeon Jung ,Tel: (02) 2650-5156, Fax: (02) 2648-5604, Email: paransooyeon@hanmail.net
Received: 20 October 2016; Revised: October 20, 2016   Accepted: 4 November 2016.  Published online: 30 December 2016.
ABSTRACT
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.
KEY WORDS: Rheumatoid arthritisVocal fold paralysisNeuropathyCricoarytenoid joint
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