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Neuralgic amyotrophy associated with temporary vocal fold paralysis: successful treatment by vocal fold augmentation with hyaluronic acid

Published online by Cambridge University Press:  17 March 2015

K Geißler ,
C M Klingner ,
O Guntinas-Lichius  and
T Bitter
K Geißler*
Affiliation:
Department of Otorhinolaryngology, Jena University Hospital, Germany
C M Klingner
Affiliation:
Department of Neurology, Jena University Hospital, Germany
O Guntinas-Lichius
Affiliation:
Department of Otorhinolaryngology, Jena University Hospital, Germany
T Bitter
Affiliation:
Department of Otorhinolaryngology, Jena University Hospital, Germany
*
Address for correspondence: Dr Katharina Geißler, Department of Otorhinolaryngology, University Hospital Jena, Lessingstraße 2, D-07740 Jena, Germany Fax: +49 3641 935 129 E-mail: Katharina.Geissler@med.uni-jena.de
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Abstract

Background:

Neuralgic amyotrophy is a polyneuropathy that classically involves the brachial plexus. This paper reports an unusual clinical manifestation associated with vocal fold paralysis.

Case report:

A 36-year-old male presented with hoarseness and progressive weakness of the right shoulder and upper arm muscles. Laryngoscopy revealed a limited adduction of the right vocal fold.

Results:

Subsequent speech therapy did not improve the symptoms. Therefore, vocal fold augmentation by application of hyaluronic acid in the right vocal fold was performed.

Conclusion:

Vocal fold augmentation with resorbable material seems to be a more effective transient treatment than speech therapy alone for patients with neuralgic amyotrophy and laryngeal involvement.

Keywords

Neuromuscular DiseasesVocal Cord ParalysisDrug Therapy

Information

Type
Online Only Clinical Record
Information
The Journal of Laryngology & Otology , Volume 129 , Issue 4 , April 2015 , e1
Copyright
Copyright © JLO (1984) Limited 2015 

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References

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