Birns J W
Ann Otol Rhinol Laryngol. 1984 Sep-Oct;93(5 Pt 1):447-51. doi: 10.1177/000348948409300505.
This paper alerts the otolaryngologist to a previously unreported type of laryngeal paralysis (adductor type) in association with the Arnold-Chiari malformation. A survey of the literature fails to reveal any similar documented cases of absent laryngeal sensory function in association with this neurological defect. All prior reports have dealt with abductor laryngeal paralysis associated with the Arnold-Chiari malformation in which airway obstruction was the predominant laryngeal symptom. In the patient reported here, aspiration was the predominant symptom and was due to total loss of laryngeal sensation. This report describes this patient's clinical findings in detail, reviews the literature, and discusses management.
本文提醒耳鼻喉科医生注意一种先前未报告过的与阿诺德-奇亚里畸形相关的喉麻痹类型（内收肌型）。文献调查未能发现任何与这种神经缺陷相关的类似记录在案的喉感觉功能缺失病例。所有先前的报告都涉及与阿诺德-奇亚里畸形相关的外展肌喉麻痹，其中气道阻塞是主要的喉部症状。在此报告的患者中，误吸是主要症状，是由于喉感觉完全丧失所致。本报告详细描述了该患者的临床发现，回顾了文献，并讨论了治疗方法。
