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新型冠状病毒肺炎中的双侧声带麻痹和声门桥粘连

Bilateral vocal fold paresis and glottal bridge synechia in COVID-19.

作者信息

Tardue-Breiter Antonia, Glück Anna, Dier Helga, Sprinzl Georg Mathias

机构信息

Department of Otorhinolaryngology University Hospital St. Pölten St. Pölten Austria.

Karl Landsteiner University of Health Sciences Krems Austria.

出版信息

Clin Case Rep. 2023 Jun 28;11(7):e7447. doi: 10.1002/ccr3.7447. eCollection 2023 Jul.

DOI:10.1002/ccr3.7447
PMID:37397576
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10308005/
Abstract

KEY CLINICAL MESSAGE

Bilateral vocal fold paresis (BVFP) is a rare complication in COVID-19 and should be considered as differential diagnosis in COVID-19-patients presenting with dyspnea and stridor. High-dose intravenous corticosteroids can be useful treating COVID-19-related laryngeal edema and vocal fold paresis. This case shows the complexity of laryngeal complications in COVID-19 requiring surgeries and functional therapies.

ABSTRACT

Although COVID-19 is known to affect peripheral as well as cranial nerves, there is a paucity of reports on vocal fold paresis in COVID-19, bilateral vocal fold paresis (BVFP) in particular. We describe a case of BVFP and glottal bridge synechia following COVID-19-pneumonia discussing pathomechanisms and treatment options.

摘要

关键临床信息

双侧声带麻痹（BVFP）是新冠肺炎的一种罕见并发症，在出现呼吸困难和喘鸣的新冠肺炎患者中应被视为鉴别诊断。大剂量静脉注射皮质类固醇可能有助于治疗新冠肺炎相关的喉水肿和声带麻痹。本病例显示了新冠肺炎喉并发症的复杂性，需要手术和功能治疗。

摘要

虽然已知新冠肺炎会影响周围神经和颅神经，但关于新冠肺炎患者声带麻痹的报道很少，尤其是双侧声带麻痹（BVFP）。我们描述了一例新冠肺炎肺炎后发生BVFP和声门桥粘连的病例，讨论了发病机制和治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91ff/10308005/11fb2cbbcde0/CCR3-11-e7447-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91ff/10308005/8c24024916a1/CCR3-11-e7447-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91ff/10308005/38fb9bb3ffb6/CCR3-11-e7447-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91ff/10308005/e56c82e375c8/CCR3-11-e7447-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91ff/10308005/11fb2cbbcde0/CCR3-11-e7447-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91ff/10308005/8c24024916a1/CCR3-11-e7447-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91ff/10308005/38fb9bb3ffb6/CCR3-11-e7447-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91ff/10308005/e56c82e375c8/CCR3-11-e7447-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91ff/10308005/11fb2cbbcde0/CCR3-11-e7447-g002.jpg

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Clin Case Rep. 2023 Dec 17;11(12):e8325. doi: 10.1002/ccr3.8325. eCollection 2023 Dec.

本文引用的文献

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Ann Otol Rhinol Laryngol. 2022 Sep;131(9):1032-1035. doi: 10.1177/00034894211047829. Epub 2021 Oct 13.
2
Case Report: Bilateral Palsy of the Vocal Cords After COVID-19 Infection.病例报告：新型冠状病毒感染后双侧声带麻痹
Front Neurol. 2021 May 19;12:619545. doi: 10.3389/fneur.2021.619545. eCollection 2021.
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Inhaled corticosteroids in virus pandemics: a treatment for COVID-19?病毒大流行中的吸入性糖皮质激素：治疗新型冠状病毒肺炎（COVID-19）的方法？
Lancet Respir Med. 2020 Sep;8(9):846-847. doi: 10.1016/S2213-2600(20)30314-3. Epub 2020 Jul 30.
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Neurobiology of COVID-19.COVID-19 的神经生物学。
J Alzheimers Dis. 2020;76(1):3-19. doi: 10.3233/JAD-200581.
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Long-term intubation and high rate of tracheostomy in COVID-19 patients might determine an unprecedented increase of airway stenoses: a call to action from the European Laryngological Society.在 COVID-19 患者中，长期插管和高气管切开率可能导致气道狭窄前所未有地增加：这是欧洲喉科学会发出的行动呼吁。
Eur Arch Otorhinolaryngol. 2021 Jan;278(1):1-7. doi: 10.1007/s00405-020-06112-6. Epub 2020 Jun 6.