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Cardiovocal syndrom arare case of hoarseness of voice

Authors:

L. S. B. Ekanayake ,

Provincial General Hospital Badulla, LK
About L. S. B.
Consultant ENT Surgeon
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K. G. Dayaratne

Teaching Hospital Anuradhapura, LK
About K. G.
Consultant Radiologist
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Abstract

Introduction

Hoarseness of voice is a common clinical presentation in ENT practice, which may have different   etiological causes. The causes may vary from local pathology of larynx to a neurogenic reason of central nervous system or recurrent laryngeal nerve pathology. Cardiovocal syndrome may cause hoarseness secondary to left recurrent laryngeal nerve palsy when left recurrent laryngeal nerve is mechanically affected due to enlarged cardiovascular structure. In this article we present a case of left recurrent laryngeal nerve palsy due to Cardiovocal syndrome or Ortner’s syndrome in a 75-year-old female.

 

Conclusions

Ortner's syndrome may be overlooked and unless specifically looked for may be regarded as an idiopathic cause. The diagnostic methods currently used for investigation of recurrent laryngeal nerve palsy specially the CT scan of carina to skull base may have these inherited disadvantages. As the lowest plane of the scan is so proximal to inferior region of the aorto pulmonary window an interpreter may easily miss the aneurism unless specifically looked for. One effect of this would be under diagnosis and when spotted it would be highly inadequate to assess the heart and rest of the thoracic aorta as clearly demonstrated in our patient which needed further studies. It would be a more efficient to include the heart in the CT scans in patients with extra laryngeal   causes of left recurrent laryngeal nerve palsy at least among cardiovascular risk factors.
How to Cite: Ekanayake, L.S.B. and Dayaratne, K.G., 2020. Cardiovocal syndrom arare case of hoarseness of voice. Ceylon Journal of Otolaryngology, 9(1), pp.61–67. DOI: http://doi.org/10.4038/cjo.v9i1.5283
Published on 31 Dec 2020.
Peer Reviewed

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