DOI: 10.36347/sjams.2014.v02i04.059

Pages: 1436-1440

The aim of this clinical study is to identify the position of vocal cord and side of vocal cord involvement in patients having vocal cord paralysis. The Study was conducted in otolaryngology clinic of a referral & a teaching tertiary care SKIMS Medical college, Bemina, India. The present study included 46 cases having vocal cord paralysis who presented in out-patient department for a period of one year with effect from Nov. 2012 to October 2013. The study included a detailed history & complete physical examination with relevant investigations. A thorough ENT examination was conducted in all the patients especially indirect laryngoscopy to look especially for vocal cord movement, position of vocal cords, side of paralysis & direct laryngoscopy in cases where indirect laryngoscopy examination was not possible. Routine and Special investigations like Barium study of esophagus, CT-Scan, MRI, Esophagoscopy, Bronchoscopy were done as & when required. In our study, out of 46 patients, the most common position of vocal cord was paramedian & the least common position was median. Left vocal cord was most commonly involved 28(60.8%).Right vocal cord involvement was found in 17 (37%) patients. Left vocal cord involvement was seen in majority of patients, with the right vocal cord involvement predominantly seen in patients undergoing thyroidectomy and paramedian position was the most common position of vocal cords in vocal cord paralysis.