Sleep-disordered breathing as a delayed complication of iatrogenic vocal cord trauma

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• 作者：Saadia A. Faiz^a ; ^{safaiz@mdanderson.org" class="auth_mail" title="E-mail the corresponding author} ; Lara Bashoura^a ; Lavanya Kodali^b ; Amy C. Hessel^c ; Scott E. Evans^a ; Diwakar D. Balachandran^a
• 关键词：Vocal cord paralysis ; Sleep-related hypoventilation ; Obstructive sleep apnea ; Vocal cord dysfunction ; Continuous positive airway pressure ; Sleep-disordered breathing
• 刊名：Sleep Medicine
• 出版年：2016
• 出版时间：June 2016
• 年：2016
• 卷：22
• 期：Complete
• 页码：1-3
• 全文大小：1019 K

文摘

A case of a 55-year-old woman with iatrogenic vocal cord trauma and sleep-related symptoms is reported. In particular, this case highlights sleep-disordered breathing as a delayed complication after iatrogenic vocal cord trauma. The patient developed acute stridor from a contralateral vocal cord hematoma following vocal fold injection for right vocal cord paralysis. Acute respiratory symptoms resolved with oxygen, steroids, and nebulized therapy, but nocturnal symptoms persisted and polysomnography revealed sleep-related hypoventilation and mild obstructive sleep apnea. Positive pressure therapy was successfully used to ameliorate her symptoms and treat sleep-disordered breathing until her hematoma resolved. In addition to the typically acute respiratory symptoms that may result from vocal cord dysfunction, sleep-disordered breathing may also present as a significant subacute or chronic problem. Management of the acute respiratory symptoms is relatively well established, but clinicians should be alert for more subtle nocturnal symptoms that may require further study with polysomnography.