Upper Airways Obstruction with Bilateral Vocal Cord Paralysis

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Presentation transcript:

Upper Airways Obstruction with Bilateral Vocal Cord Paralysis Y. Cormier, M.D., H. Kashima, M.D., W. Summer, M.D., F.C.C.P., H. Menkes, M.D.  CHEST  Volume 75, Issue 4, Pages 423-427 (April 1979) DOI: 10.1378/chest.75.4.423 Copyright © 1979 The American College of Chest Physicians Terms and Conditions

FIGURE 1 Flow volume loops obtained with patient 7 (a) bilateral vocal cord paralysis, (b) after spontaneous recovery of left vocal cord paralysis and Teflon injection into right vocal cord. This figure illustrates the severity of reversible airflow obstruction that can be seen in patients with bilateral vocal cord paralysis. CHEST 1979 75, 423-427DOI: (10.1378/chest.75.4.423) Copyright © 1979 The American College of Chest Physicians Terms and Conditions

FIGURE 2 Maximum airflows in patient 8: (a) initial with bilateral vocal cord paralysis, (b) after arytenoidectomy and pexy, (c) after right vocal cord stripping. Repeat flow volume analysis can be useful to quantitate the effect of different surgical treatments on airflows. CHEST 1979 75, 423-427DOI: (10.1378/chest.75.4.423) Copyright © 1979 The American College of Chest Physicians Terms and Conditions

FIGURE 3 Flow volume loops for patient 3: (a) initial studies, and (b), one year after tracheostomy. By releasing the activity of the cricothyroid muscle, tracheostomy may decrease airway obstruction. CHEST 1979 75, 423-427DOI: (10.1378/chest.75.4.423) Copyright © 1979 The American College of Chest Physicians Terms and Conditions