Left vocal cord palsy (due to para-esophageal abscess)

Case contributed by Dr Praveen Jha

Presentation

Breathy voice, swallowing difficulty and dyspnea.

Patient Data

Age: 45 years
Gender: Male

Scan was taken down to the arch of aorta to assess the course of left recurrent laryngeal nerve. A para-esophageal abscess is seen on left side, likely to involve left recurrent laryngeal nerve in tracheo-esophageal groove. Paramedian deviation of left vocal cord seen.

Annotated images. 

Case Discussion

This case shows the importance of imaging in case of left vocal cord palsy, where it is important to image upto arch of aorta, a point where recurrent laryngeal nerve turns on left side.

Patient was operated and abscess was drained successfully.

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Case information

rID: 16225
Case created: 31st Dec 2011
Last edited: 9th Feb 2016
System: Head & Neck
Inclusion in quiz mode: Excluded

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