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- Title
New Laryngeal Muscle Weakness in Post-Polio Syndrome.
- Authors
Robinson, Lawrence R.; Hillel, Allen D.; Waugh, Patricia F.
- Abstract
The authors describe the clinical presentations of post-polio laryngeal muscle weakness in three patients with prior polio infection who presented with new complaints including slowly progressive dyspnea, dysphagia, and/or hoarseness. Evaluations by laryngeal videostroboscopy and electromyography revealed vocal cord abductor and/or adductor weakness, recurrent posterior glottic web in one case, and, in the two patients who agreed to electromyography, evidence of prior denervation and reinnervation in laryngeal muscles. Treatment was directed at attempting to maintain an airway and optimize vocal quality. One patient benefitted from tracheostomy, one benefitted from vocal cord medialization, and one benefitted from resection of interarytenoid scarring. The authors conclude that diagnosis of laryngeal post-polio syndrome is facilitated by laryngeal electromyography. Interventions directed at maintaining an appropriate airway and optimizing vocal quality may be helpful.
- Publication
Laryngoscope, 1998, Vol 108, Issue 5, p732
- ISSN
0023-852X
- Publication type
Article
- DOI
10.1097/00005537-199805000-00020