A female infant was admitted to the hospital due to perioral cyanosis two hours after birth. The infant was born at the gestational age of 35 weeks by cesarean section with a birth weight of 2 400 g. Physical examination revealed wry mouth to the left side while crying, small auricles, and high palatal arch; fibrolaryngoscopy suggested bilateral vocal cord paralysis; echocardiography suggested ventricular septal defect; single nucleotide polymorphism testing showed 22q11.21 microdeletion. Therefore, the infant was given a definite diagnosis of asymmetric crying facies syndrome accompanied by 22q11.21 microdeletion. After 8-month follow-up, the infant still had asymmetric crying facies with presence of growth retardation.
Cesarean Section ; Crying ; Facial Paralysis ; Female ; Heart Defects, Congenital ; Humans ; Infant ; Pregnancy ; Vocal Cord Paralysis

No abstract available.
Vocal Cord Paralysis*

No abstract available.
Facial Paralysis ; Myasthenia Gravis* ; Ophthalmoplegia

Bilateral vocal cord paralysis generally arises from trauma, tumor compression of the recurrent laryngeal nerves, surgery on neck and neurological diseases. Progressive supranuclear palsy is a rare degenerative disease showing supranuclear ophthalnoplegia, rigidity, bradykinesia, dysarthria and dementia. Bilateral vocal cord paralysis in patients with progressive supranuclear palsy can be found only in a few cases reported in literature. The finding of bilateral vocal cord paralysis is important because it can be life threatening. We managed a patient with the laterofixation of vocal cord for preventing respiratory failure due to glottic airway compromise. We report this case with a review of literature.
Dementia ; Dysarthria ; Humans ; Hypokinesia ; Neck ; Recurrent Laryngeal Nerve ; Respiratory Insufficiency ; Supranuclear Palsy, Progressive ; Vocal Cord Paralysis ; Vocal Cords

Ramsay Hunt syndrome or herpes zoster oticus is a viral disease associated with otalgia, vesicular eruption, facial paralysis, hearing disturbance, tinnitus, vertigo and other symptoms. Rarely it can be associated with involvement of IV, V, IX, X, XI, XII cranial nerves, cervical plexus, and diffuse encephalitis. We report a case of Ramsay Hunt syndrome with vocal cord paralysis which developed prior to facial nerve paralysis.
Cervical Plexus ; Cranial Nerves ; Earache ; Encephalitis ; Facial Nerve ; Facial Paralysis ; Hearing ; Herpes Zoster Oticus* ; Paralysis ; Tinnitus ; Vertigo ; Virus Diseases ; Vocal Cord Paralysis* ; Vocal Cords*

No abstract available.
Humans ; Stroke ; Vocal Cord Paralysis

Neonatal vocal cord paralysis is the second most common laryngeal anomaly, which accounts for approximately 10% of all congenital laryngeal lesions. Neonate with bilateral vocal cord paralysis are charactenzed with a glottic obstruction which usually shows dyspnea and inspiratory stridor. Treatment of bilateral vocal cord paralysis in neonate have two major goals : restore proper breathing and retain the voice. Tracheostomy is the best method for restoring breating in neonate. The prognosis of bilateral paralysis looks worse. Spontaneous recovery was seen in only half of the cases which usually occur in the idiopathic group and neurologic group. We experienced a case of bilateral vocal cord paralysis in a neonate who showed dyspnea, cyanosis and inspiratory stridor soon after birth. Diagnosis was confirmed by direct laryngoscopy and he was treated with tracheostomy.
Cyanosis ; Diagnosis ; Dyspnea ; Humans ; Infant, Newborn* ; Laryngoscopy ; Paralysis ; Parturition ; Prognosis ; Respiration ; Respiratory Sounds ; Tracheostomy ; Vocal Cord Paralysis* ; Vocal Cords* ; Voice

No abstract available.
Acoustics* ; Vocal Cord Paralysis* ; Vocal Cords*

BACKGROUND AND OBJECTIVES: Bilateral vocal cord paralysis is a potentially life-threating problem, but it accompanies a relatively rare complication of acute cerebral lesions. We attempted to estimate the usefulness of radiologic studies as predictive factors of recovery from this condition. MATERIALS AND METHOD: Five patients who developed acute respiratory failure after acute ischemic stroke were included in the study and followed up. Radiologic studies (CT or MRI) were performed to localize the brain lesions. Bilateral vocal cord paralyses were confirmed by rigid or fiberoptic laryngoscopy. RESULTS: Recovery of vocal cord mobility was observed in three patients. Vocal cord paralysis was not resolved in two patients with lateral medullary infarction and large subcortical infarction. CONCLUSION: Bilateral vocal cord paralyses resulting from acute cerebral lesions have different prognoses according to their location and extent. Therefore, radiological studies may be useful for predicting the recovery of centrally originated bilateral vocal cord paralysis.
Brain ; Cerebral Infarction ; Humans ; Infarction ; Laryngoscopy ; Prognosis ; Respiratory Insufficiency ; Stroke ; Vocal Cord Paralysis* ; Vocal Cords*

Herpes zoster oticus is one of complication of varicella zoster virus (VZV) reactivation in the geniculate ganglion of the facial nerve, which is the most common presentation of herpes zoster in the head and neck region. However, VZV infection of the larynx has rarely been described in the literature compared with Herpes zoster oticus. Moreover, zoster laryngopharyngitis simultaneously occurred with recurred Herpes zoster oticus which has no newly developing motor dysfunction has not been reported yet. Therefore, these diseases are difficult to diagnose due to its rareness. However, distinctive appearances such as unilateral herpetic mucosal eruptions and vesicles are useful and essential in making a quick and accurate diagnosis. Thus, we report a characteristic case of zoster laryngopharyngitis simultaneously occurred with recurred Herpes zoster oticus not accompanied by any newly developing motor palsy.
Diagnosis ; Facial Nerve ; Geniculate Ganglion ; Head ; Herpes Zoster Oticus ; Herpes Zoster ; Herpesvirus 3, Human ; Larynx ; Neck ; Paralysis ; Vocal Cord Paralysis ; Vocal Cords