Vocal cord paralysis

Case contributed by Dr Alexandra Stanislavsky

Presentation

Patient presents with a hoarse voice. There is a recent history of total thyroidectomy.

Modality: CT

The following features of right vocal cord paralysis are demonstrated:

  • dilatation of the right vallecula
  • fullness and medial displacement of the right aryepiglottic fold
  • thickening and medial displacement of the right vocal cord
  • dilatation of the right piriform sinus
  • enlargement of the right laryngeal ventricle.

There are surgical clips indicating prior thyroidectomy, and peri-operative injury to the right recurrent laryngeal nerve is the likely aetiology in this patient. 

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Case Information

rID: 12512
Case created: 7th Dec 2010
Last edited: 17th May 2016
System: Head & Neck
Inclusion in quiz mode: Included

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