Sarcoidosis Presenting as Bilateral Vocal Fold Immobility

Autor: Sharon H. Gnagi, David G. Lott, Justin M. Hintze
Rok vydání: 2018
Předmět:
Zdroj: Journal of Voice. 32:359-362
ISSN: 0892-1997
DOI: 10.1016/j.jvoice.2017.05.017
Popis: Bilateral true vocal fold paralysis is rarely attributable to inflammatory diseases. Sarcoidosis is a rare but important etiology of bilateral true vocal fold paralysis by compressive lymphadenopathy, granulomatous infiltration, and neural involvement. We describe the first reported case of sarcoidosis presenting as bilateral vocal fold immobility caused by direct fixation by granulomatous infiltration severe enough to necessitate tracheostomy insertion. In addition, we discuss the presentation, the pathophysiology, and the treatment of this disease with a review of the literature of previously reported cases of sarcoidosis-related vocal fold immobility. Sarcoidosis should therefore be an important consideration for the otolaryngologist's differential diagnosis of true vocal fold immobility.
Databáze: OpenAIRE