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- W2234851491 abstract "Eighteen patients with recurrent laryngeal nerve (RLN) palsy were studied: Fifteen of them had bronchogenic carcinoma, 2 had thyroid resection, and 1 had viral neuritis. Eleven of the 15 with bronchogenic carcinoma had the simultaneous onset of pharyngoesophageal dysphagia and vocal cord paralysis. Dysphagia was not seen in 20 consecutive patients who had pneumonectomy without RLN resection. Radiologic, endoscopic, and manometric studies were carried out on those with severe dysphagia. Radiology did show aspiration in some and manometry showed nonspecific, inconsistent changes at the pharyngoesophageal junction. Anatomic studies confirmed the distribution of the RLN to the proximal esophagus and cricopharyngeus. Aspiration was the dominant clinical problem associated with dysphagia, and in 3 patients pharyngoesophageal myotomy was necessary to relieve the dysphagia and clear the infection. The results of myotomy were good in all patients. Recognition of dysphagia is important, as the secondary aspiration, if uncontrolled, can produce major respiratory infections." @default.
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- W2234851491 date "1974-10-01" @default.
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- W2234851491 title "Pharyngoesophageal dysphagia and recurrent laryngeal nerve palsy" @default.
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- W2234851491 doi "https://doi.org/10.1016/s0022-5223(19)39848-4" @default.
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