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Neuralgic amyotrophy associated with temporary vocal fold paralysis: successful treatment by vocal fold augmentation
K Geißler1, C M Klingner2, O Guntinas-Lichius1
1Department of Otorhinolaryngology,Jena University Hospital,Germany.
Background:
Neuralgic amyotrophy is a polyneuropathy that classically involves the brachial plexus. This paper reports an unusual clinical manifestation associated with vocal fold paralysis.
Case Report:
A 36-year-old male presented with hoarseness and progressive weakness of the right shoulder and upper arm muscles. Laryngoscopy revealed a limited adduction of the right vocal fold.
Results:
Subsequent speech therapy did not improve the symptoms. Therefore, vocal fold augmentation by application of hyaluronic acid in the right vocal fold was performed.
Conclusion:
Vocal fold augmentation with resorbable material seems to be a more effective transient treatment than speech therapy alone for patients with neuralgic amyotrophy and laryngeal involvement.
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