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Updated: Apr 7, 2026

Minimally Invasive Murine Laryngoscopy for Close-Up Imaging of Laryngeal Motion During Breathing and Swallowing
Published on: December 1, 2023
An uncommon case of dyspnea with unilateral laryngeal paralysis in acromegaly
Justine Lerat1, Marie Lacoste2, Jean-Marc Prechoux1
1Otorhinolaryngology, Head and Neck Surgery, Dupuytren Teaching Hospital, 2 Avenue Martin Luther King, 87100 Limoges cedex, France.
Abstract:
A 61-year-old man with obstructive sleep apnea syndrome and normal BMI complained of dyspnea. Nasofibroscopy revealed a global and major oedema of the glottis and supraglottis and also a paralysis of the left vocal fold. CT-scan pointed out a spontaneous hyperdensity of the left arytenoid cartilage. A tracheostomy was performed. Clinical examination revealed large hands and macroglossy with high IGF1 rate. MRI confirmed a supracentimetric pituitary adenoma. To our knowledge, this is the first description of a case of acute respiratory distress due to unilateral larynx paralysis leading to acromegaly diagnosis. This is due to submucosal hypertrophy and vocal cord immobility.
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