Matches in SemOpenAlex for { <https://semopenalex.org/work/W2954917234> ?p ?o ?g. }
Showing items 1 to 74 of
74
with 100 items per page.
- W2954917234 abstract "Abstract Object The term ‘vocal cord immobility’ (VCI) encompasses both vocal cord paralysis and crico-arytenoid joint ankylosis (CAJA). Bilateral VCI represents an emergency condition characterized by stridor and respiratory distress sometimes requiring tracheostomy to ensure an adequate and safe airway. The aim of this study is to describe the diagnostic and therapeutic management of a rare case of congenital bilateral CAJA in a patient without pregnancy complications, perinatal traumas, or other comorbidities. Materials and Methods The patient was born full term by C-section after a healthy pregnancy (BW 3270 g, APGAR 9 at 5'). After birth she presented severe stridor with respiratory distress. She was admitted to our hospital when she was 3 months old. The diagnostic assessment was performed with airway endoscopy, pulmonary function tests (PFT), sleep study, echocardiogram, neurological evaluation, chest computed tomography (CT) scan, and brain magnetic resonance imaging (MRI). Laryngeal electromyography (LEMG) with endoscopic placement of Hookwire electrodes was carried out for the differential diagnosis between paralysis and ankylosis and the subsequent choice of the treatment. PFT and sleep study were repeated after each endoscopic procedure. Results The first airway endoscopy showed bilateral VCI in paramedian position and palpatory evidence of bilateral crico-arytenoid joint fixation. PFT highlighted inspiratory obstruction at the flow/volume and flow/time curves and tidal volume reduction. Sleep study was indicative of mild–moderate obstructive apnea. Echocardiogram, neurological evaluation, brain MRI, and chest CT scan did not detect anomalies. LEMG showed continuous low-amplitude basal activity in all analyzed muscles, in the absence of spontaneous neurotonic activations. Motor evoked potentials (MEP) denoted normal left response and minimum right delay. Two glottic dilations were performed with 7 and 8 mm balloons determining the decrease of stridor and good respiratory balance confirmed by PFT. Endoscopy showed a slight recovery of laryngeal motility. Conclusion The management of this rare clinical case points out the crucial role of a careful and complete endoscopic examination including the palpation of the crico-arytenoid joints. Moreover LEMG represents an important instrument for the correct differential diagnosis in VCI. In the future the use of LEMG could be mandatory in pediatric patients in order to avoid tracheotomy in favor of more conservative procedures." @default.
- W2954917234 created "2019-07-12" @default.
- W2954917234 creator A5000794202 @default.
- W2954917234 creator A5022897144 @default.
- W2954917234 creator A5038768992 @default.
- W2954917234 creator A5039636438 @default.
- W2954917234 creator A5070034605 @default.
- W2954917234 date "2019-06-01" @default.
- W2954917234 modified "2023-09-27" @default.
- W2954917234 title "DOZ047.98: The role of laryngeal electromyography in differential diagnosis of vocal cord immobility: a case report" @default.
- W2954917234 doi "https://doi.org/10.1093/dote/doz047.98" @default.
- W2954917234 hasPublicationYear "2019" @default.
- W2954917234 type Work @default.
- W2954917234 sameAs 2954917234 @default.
- W2954917234 citedByCount "0" @default.
- W2954917234 crossrefType "journal-article" @default.
- W2954917234 hasAuthorship W2954917234A5000794202 @default.
- W2954917234 hasAuthorship W2954917234A5022897144 @default.
- W2954917234 hasAuthorship W2954917234A5038768992 @default.
- W2954917234 hasAuthorship W2954917234A5039636438 @default.
- W2954917234 hasAuthorship W2954917234A5070034605 @default.
- W2954917234 hasConcept C105702510 @default.
- W2954917234 hasConcept C126322002 @default.
- W2954917234 hasConcept C141071460 @default.
- W2954917234 hasConcept C142724271 @default.
- W2954917234 hasConcept C2776042228 @default.
- W2954917234 hasConcept C2777515770 @default.
- W2954917234 hasConcept C2779031853 @default.
- W2954917234 hasConcept C2779632786 @default.
- W2954917234 hasConcept C2780474809 @default.
- W2954917234 hasConcept C2780801072 @default.
- W2954917234 hasConcept C2909717120 @default.
- W2954917234 hasConcept C71924100 @default.
- W2954917234 hasConcept C99508421 @default.
- W2954917234 hasConceptScore W2954917234C105702510 @default.
- W2954917234 hasConceptScore W2954917234C126322002 @default.
- W2954917234 hasConceptScore W2954917234C141071460 @default.
- W2954917234 hasConceptScore W2954917234C142724271 @default.
- W2954917234 hasConceptScore W2954917234C2776042228 @default.
- W2954917234 hasConceptScore W2954917234C2777515770 @default.
- W2954917234 hasConceptScore W2954917234C2779031853 @default.
- W2954917234 hasConceptScore W2954917234C2779632786 @default.
- W2954917234 hasConceptScore W2954917234C2780474809 @default.
- W2954917234 hasConceptScore W2954917234C2780801072 @default.
- W2954917234 hasConceptScore W2954917234C2909717120 @default.
- W2954917234 hasConceptScore W2954917234C71924100 @default.
- W2954917234 hasConceptScore W2954917234C99508421 @default.
- W2954917234 hasLocation W29549172341 @default.
- W2954917234 hasOpenAccess W2954917234 @default.
- W2954917234 hasPrimaryLocation W29549172341 @default.
- W2954917234 hasRelatedWork W2009331487 @default.
- W2954917234 hasRelatedWork W2012737447 @default.
- W2954917234 hasRelatedWork W2028475023 @default.
- W2954917234 hasRelatedWork W2045381653 @default.
- W2954917234 hasRelatedWork W2065980027 @default.
- W2954917234 hasRelatedWork W2074825489 @default.
- W2954917234 hasRelatedWork W2082543286 @default.
- W2954917234 hasRelatedWork W2086202810 @default.
- W2954917234 hasRelatedWork W2104114374 @default.
- W2954917234 hasRelatedWork W2234339294 @default.
- W2954917234 hasRelatedWork W2290820735 @default.
- W2954917234 hasRelatedWork W2401068061 @default.
- W2954917234 hasRelatedWork W2472208141 @default.
- W2954917234 hasRelatedWork W249340596 @default.
- W2954917234 hasRelatedWork W2528308922 @default.
- W2954917234 hasRelatedWork W2604888521 @default.
- W2954917234 hasRelatedWork W2766217564 @default.
- W2954917234 hasRelatedWork W2909895701 @default.
- W2954917234 hasRelatedWork W2976562283 @default.
- W2954917234 hasRelatedWork W3177807232 @default.
- W2954917234 isParatext "false" @default.
- W2954917234 isRetracted "false" @default.
- W2954917234 magId "2954917234" @default.
- W2954917234 workType "article" @default.