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Malhotra, Vikas
- Spasmodic Dysphonia Presenting in a Post Trauma Tracheostomised Patient with Inadequate Laryngeal Muscle Relaxation
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Authors
Affiliations
1 Department of Anaesthesia and Critical Care, AIIMS, Rishikesh – 249203, Uttarakhand, IN
2 Department of Anaesthesia and Critical Care, MAMC and LNH, New Delhi – 110002, Delhi, IN
3 ENT Department, MAMC and LNH, New Delhi – 110002, Delhi, IN
1 Department of Anaesthesia and Critical Care, AIIMS, Rishikesh – 249203, Uttarakhand, IN
2 Department of Anaesthesia and Critical Care, MAMC and LNH, New Delhi – 110002, Delhi, IN
3 ENT Department, MAMC and LNH, New Delhi – 110002, Delhi, IN
Source
Northern Journal of ISA, Vol 3, No 1 (2018), Pagination: 28-29Abstract
Spasmodic Dysphonia is a chronic long-term voice disorder, with a very rare incidence of 1 per 100,000 cases in which the movement of vocal cords is both forced and strained resulting in hoarse, quivery and jerky voice. We present a very rare and interesting case of spasmodic Dysphonia that was adequately relaxed after administration of muscle relaxants but had undue contractions of adductor group of muscles at the level of vocal cords. Little is known about the genetic basis of the disease but symptoms improve when the kinetic output of the laryngeal muscles is reduced either by unilateral recurrent laryngeal nerve section, or by botulinum injections into the affected muscles.
Keywords
Inadequate Laryngeal Muscle Relaxation, Post Tracheostomy, Spasmodic Dysphonia.Full Text
UntitledReferences
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- Capacchione JF, Bodily K, Hudson AJ. Postextubation Laryngospasm in a Patient with Spasmodic Dysphonia. Anesthesiology. 2005; 102(4):859-860. https://doi.org/10.1097/00000542-200504000-00023 PMid:15791117