Microscopic bilateral posterior cordotomy in severe obstructive sleep apnea syndrome with bilateral vocal cord paralysis

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dc.authorid0000-0003-3311-3338en_US
dc.authorid0000-0001-7360-8269en_US
dc.contributor.authorSariman, Nesrin
dc.contributor.authorKoca, Oncel
dc.contributor.authorBoyaci, Zerrin
dc.contributor.authorLevent, Ender
dc.contributor.authorSoylu, Akin Cem
dc.contributor.authorAlparslan, Sumeyye
dc.contributor.authorSaygi, Attila
dc.date.accessioned2024-07-12T21:53:22Z
dc.date.available2024-07-12T21:53:22Z
dc.date.issued2012en_US
dc.departmentMaltepe Üniversitesien_US
dc.description.abstractVocal cord paralysis is a rare cause of obstructive sleep apnea syndrome (OSAS). Recurrent laryngeal nerve injury after thyroid gland surgery is one of the leading causes of acquired vocal cord paralysis. A 46-year-old woman with OSAS due to bilateral abductor vocal cord paralysis was presented. She had thyroidectomy 30 years ago and had a weak, breathy voice. She had been referred with a history of high-pitched snoring, apnea witnessed by her spouse, and excessive daytime sleepiness for the last 5 years. Full-night polysomnography revealed that her apnea-hypopnea index was 72/h and minimal oxygen saturation level was 81%. There was no REM and deep sleep periods. Ear-nose-throat consultation offered an endoscopic bilateral posterior cordotomy operation via microscopic suspension laryngoscopy (MLS) as a treatment option. Instead of using a nasal positive airway pressure (nCPAP) device, she was treated surgically. Her OSAS resolved completely within 5 months of the surgery. Her phonation was preserved, and symptoms such as snoring and hypersomnolance disappeared. In OSAS patients with bilateral vocal cord paralysis, MLS-associated bilateral posterior cordotomy can be a choice of treatment as an alternative to nCPAP application.en_US
dc.identifier.doi10.1007/s11325-010-0458-9
dc.identifier.endpage22en_US
dc.identifier.issn1520-9512
dc.identifier.issue1en_US
dc.identifier.pmid21181448en_US
dc.identifier.scopus2-s2.0-84859157296en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage17en_US
dc.identifier.urihttps://dx.doi.org/10.1007/s11325-010-0458-9
dc.identifier.urihttps://hdl.handle.net/20.500.12415/8487
dc.identifier.volume16en_US
dc.identifier.wosWOS:000300324600004en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherSPRINGER HEIDELBERGen_US
dc.relation.ispartofSLEEP AND BREATHINGen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmzKY03423
dc.subjectBilateral vocal cord paralysisen_US
dc.subjectVocal cord paralysisen_US
dc.subjectObstructive sleep apnea syndromeen_US
dc.subjectMicroscopic suspension laryngoscopyen_US
dc.subjectCordotomyen_US
dc.titleMicroscopic bilateral posterior cordotomy in severe obstructive sleep apnea syndrome with bilateral vocal cord paralysisen_US
dc.typeArticle
dspace.entity.typePublication

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