Vocal Fold Paralysis Secondary to Subclavian Venous Thrombosis

  • Abdul-Latif Hamdan
    Correspondence
    Address correspondence and reprint requests to Abdul-Latif Hamdan, American University of Beirut, Department of Otolaryngology, P.O. Box: 11-0236, Beirut, Lebanon.
    Affiliations
    Department of Otolaryngology – Head & Neck Surgery, American University of Beirut Medical Center, Beirut, Lebanon
    Search for articles by this author
  • Helene Dabbous
    Affiliations
    Department of Otolaryngology – Head & Neck Surgery, American University of Beirut Medical Center, Beirut, Lebanon
    Search for articles by this author
Published:February 20, 2020DOI:https://doi.org/10.1016/j.jvoice.2019.12.028

      Summary

      The etiology of vocal fold paralysis is multifaceted. One of the rare causes is internal jugular vein thrombosis secondary to central venous catheterization. The palsy is usually ipsilateral to the site of indwelled catheterization, self-limited and reversible. The authors of this manuscript report a rare case of contralateral recurrent laryngeal nerve palsy induced by subclavian vein thrombosis following central venous catheterization. The patient developed irreversible vocal fold paralysis that necessitated office-based injection laryngoplasty.

      Key Words

      To read this article in full you will need to make a payment
      Subscribe to Journal of Voice
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Alazzawi S
        • Hindi K
        • Malik A
        • et al.
        Chemo-port insertion: a cause of vocal cord palsy.
        Laryngoscope. 2015; 125: 2551-2552
        • Granato F
        • Martelli F
        • Comini LV
        • et al.
        The surgical treatment of unilateral vocal cord paralysis (UVCP): qualitative review analysis and meta-analysis study.
        Eur Arch Otorhinolaryngol. 2019; 276: 2649-2659
        • Koduri S
        • Ng AK
        • Roy D
        • et al.
        Ipsilateral vocal fold paralysis: an unusual complication of internal jugular tunnelled dialysis catheter insertion.
        J Vasc Access. 2019; 21: 116-119
        • Sim DW
        • Robertson MR
        Right vocal cord paralysis after internal jugular vein cannulation.
        J Laryngol Otol. 1989; 103: 424
        • Salman M
        • Potter M
        • Ethel M
        • et al.
        Recurrent laryngeal nerve injury: a complication of central venous catheterization-a case report.
        Angiology. 2004; 55: 345-346
        • Arshad FA
        • Eng CY
        • Daw W
        • et al.
        Vocal cord paralysis following central line insertion in a neonate: a review of the literature.
        BMJ Case Rep. 2011; 2011 (pii: bcr1120103543)
        • Herve S
        • Conessa C
        • Desrame J
        • et al.
        Acute laryngeal paralysis induced by the migration of a totally implantable venous access device's catheter tip.
        J Laryngol Otol. 2004; 118: 237-239
        • Martin-Hirsch DP
        • Newbegin CJ
        Right vocal fold paralysis as a result of central venous catheterization.
        J Laryngol Otol. 1995; 109: 1107-1108
        • Kurul S
        • Saip P
        • Aydin T
        Totally implantable venous-access ports: local problems and extravasation injury.
        Lancet Oncol. 2002; 3: 684-692
        • Keidan RD
        Recurrent laryngeal nerve palsy secondary to massive venous thrombosis.
        J Laryngol Otol. 1993; 107: 54-57