TY - JOUR
T1 - Sleep-disordered breathing as a delayed complication of iatrogenic vocal cord trauma
AU - Faiz, Saadia A.
AU - Bashoura, Lara
AU - Kodali, Lavanya
AU - Hessel, Amy C.
AU - Evans, Scott E.
AU - Balachandran, Diwakar D.
N1 - Publisher Copyright:
© 2016 Elsevier B.V..
PY - 2016/6/1
Y1 - 2016/6/1
N2 - 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.
AB - 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.
KW - Continuous positive airway pressure
KW - Obstructive sleep apnea
KW - Sleep-disordered breathing
KW - Sleep-related hypoventilation
KW - Vocal cord dysfunction
KW - Vocal cord paralysis
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U2 - 10.1016/j.sleep.2016.03.012
DO - 10.1016/j.sleep.2016.03.012
M3 - Article
C2 - 27544828
AN - SCOPUS:84975483666
SN - 1389-9457
VL - 22
SP - 1
EP - 3
JO - Sleep Medicine
JF - Sleep Medicine
ER -