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Ortner's syndrome revisited

A Sengupta1, S P Dubey, D Chaudhuri

  • 1Department of Medicine, Port Moresby General Hospital, Papua New Guinea.

The Journal of Laryngology and Otology
|July 11, 1998
PubMed
Summary
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Ortner's syndrome, characterized by hoarseness from left recurrent laryngeal nerve paralysis due to cardiac issues like mitral stenosis, is rare. This report details three cases from Papua New Guinea, exploring the pathogenesis of this vocal dysfunction.

Area of Science:

  • Cardiology
  • Neurology
  • Otolaryngology

Background:

  • Ortner's syndrome, hoarseness caused by left recurrent laryngeal nerve paralysis due to cardiac enlargement, remains controversial regarding its exact pathogenesis.
  • Various cardiac conditions, including mitral stenosis, primary pulmonary hypertension, and congenital heart disease, can lead to this neurological complication.

Observation:

  • This report presents three rare cases of Ortner's syndrome in Papua New Guinea, a region where cor pulmonale and rheumatic heart disease are prevalent.
  • The cases involve mitral stenosis, primary pulmonary hypertension, and combined mitral stenosis and regurgitation, highlighting diverse cardiac etiologies.

Findings:

  • The study investigates the mechanisms of left recurrent laryngeal nerve compression by enlarged cardiac structures, specifically the left atrium and pulmonary artery.

Related Experiment Videos

  • It discusses the varying pressures and anatomical relationships contributing to nerve dysfunction and subsequent hoarseness.

    • Implications:

    • This research contributes to understanding the pathogenesis of Ortner's syndrome, particularly in the context of specific cardiac conditions prevalent in certain geographic areas.
    • It underscores the importance of considering cardiac etiologies in patients presenting with unexplained hoarseness, even in regions where the syndrome is considered rare.