[Bilateral laryngeal movement disorder and synkinesia: value of botulism toxin. Apropos of a case].
Several years after a subtotal thyroidectomy complicated by bilateral vocal cord paralysis, the patient presented with progressive dyspnea due to laryngeal synkinesis. The impairement of the ventilation status, in spite of laser arytenoidectomy, followed by contralateral posterior transverse cordotomy, suggested a botulinum toxin injection in the intrinsic adductor laryngeal muscles. The rapid improvement in ventilation without phonatory impairement is discussed in the following report.
Marie
J P
JP
C.H.U. Rouen, Service d'ORL et Chirurgie Cervico-Faciale, France.
Navarre
I
I
Lerosey
Y
Y
Magnier
P
P
Dehesdin
D
D
Andrieu Guitrancourt
J
J
D000328:Adult; D001905:Botulinum Toxins / Q000008:administration & dosage*; D004417:Dyspnea / Q000188:drug therapy*; D004576:Electromyography / Q000187:drug effects; D005260:Female; D006111:Graves Disease / Q000601:surgery; D006801:Humans; D007273:Injections, Intramuscular; D007821:Laryngeal Muscles / Q000187:drug effects; D011183:Postoperative Complications / Q000188:drug therapy*; D013965:Thyroidectomy; D014826:Vocal Cord Paralysis / Q000188:drug therapy*
D001905:Botulinum Toxins
Trouble de la mobilité laryngée bilatérale et syncinésies: intérêt de la toxine botulique. A propos d'un cas.