BACKGROUND Lateral positioning decreases upper airway obstruction in paralyzed, anesthetized adults and in individuals with sleep apnea during sleep. The authors hypothesized that lateral positioning increases upper airway cross-sectional area and total upper airway volume when compared with the supine position in sedated, spontaneously breathing children. METHODS Children aged 2-12 yr requir...

To the Editor-It was with great interest that I read Dr. Larson's description of "the best treatment" for laryngospasm.' I am not only familiar with the said maneuver, hut have had the opportunity to use it on multiple occasions. In my experience it only works in the semiconscious patient with supraglottic obstruction that is unrelieved by simple airway support measures. I believe that it works...

We report a case of bilateral cricoarytenoid joint arthritis with history of rheumatoid arthritis, presented with stridor to the outpatient department. Endolaryngoscopy revealed adducted vocal cords and a nodule over left arytenoid which later confirmed to be rheumatoid nodule on histopathologic examination. Initially, although patient responded well to medical treatment, recurrence was noticed...

Survival following accidental ligature strangulation is quite rare. The present case involves an adult male strangulated by a soft cotton cloth entangled in the rotor of a machine. Unilateral neck compression allowed survival of the victim. The victim escaped with minimal injuries which were limited to contusion of the neck and edema of the vocal cords and inter arytenoid region.

Acromegalic patients can develop obstructive sleep apnea syndrome or upper airflow obstruction. The development of dyspnea is unusual and the fixation of both vocal cords is exceptional. We report the case of a patient with bilateral vocal cord paralysis. Fiberoptic laryngoscopy and computed tomography (CT) of the neck showed a supra-glottic stenosis due to a swelling of the soft tissue. A trac...

Sleep related respiratory dysfunction and vocal cord paralysis are considered to be the major factors responsible for respiratory failure in multiple system atrophy (MSA). We report a patient initially presenting with alveolar hypoventilation culminating in respiratory failure, ultimately diagnosed as MSA. No central sleep apnea or marked paralysis of the vocal cords was noted. The most likely ...

Objective: We report a rare case of laryngeal myxoma.Case report: Laryngeal myxomas are rare benign tumors of mesenchymal origin, to our knowledge only six have been reported in the English-language literature. We present the case of a woman seen in the ENT outpatient clinic with a lifelong history of dysphonia. On examination she was found to have bilateral swollen vocal cords. This was though...