Unilateral vocal cord palsy during COVID-19 era: a study from a tertiary care centre in India.

Autor: Sahai, Anoushka, Marfatia, Hetal, Gaikwad, Ashwinikumar, Agarwal, Anushka, Narkhede, Kartik, Jadhav, Mruganayani, Katkar, Sanket
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Zdroj: Egyptian Journal of Otolaryngology; 9/20/2023, Vol. 39 Issue 1, p1-8, 8p
Abstrakt: Background: In otolaryngology outpatient clinics, patients frequently present with unilateral vocal cord paralysis (UVCP). During the pandemic, various new protocols were designed to identify UVCP. An experienced otolaryngologist must conduct a thorough history-taking, examination, and investigation to determine the cause of UVCP. Objectives: To evaluate various causes of UVCP during the pandemic. Methods: Thirty patients with UVCP on 70-degree rigid endoscopy were studied. Detailed general and systemic examinations were done. All COVID-19 precautions were followed during the evaluation, and real-time reverse transcription-polymerase chain reaction was done before the endoscopic procedure. High-resolution computed tomography scan of skull base to mediastinum with contrast was performed for etiology. Patients were treated according to the standard protocols. Follow-up at 1, 3, and at 6 months was performed. Results: The mean age was 42.3 ± 14.83 years. All the patients had presented with a change in voice. Twenty percent had UVCP post a surgical procedure. No cause could be found in 16.67% of patients. Five patients had succumbed to complications relating to their other prevailing conditions. At 6 months, 10 patients continued to have palsy, 9 showed paresis, and 6 showed complete mobility of the cords. Conclusion: During the pandemic, diagnosing and following up such patients were a challenge. Investigating a cause of UVCP, the symptoms of which might be trivial at presentation, leads to discover a much sinister cause. UVCP in post-covid mucormycosis was an entity requiring multimodality management. Pandemic-induced restrictions lead to formulations of newer protocols for tackling this entity. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index
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