台灣外科醫學會雜誌

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篇名	Delayed unilateral vocal cord paralysis caused by minor head trauma
作者	Chun-Ting Chen, Zhuo-Hao Liu, Shih-Tseng Lee, Po-Hsun Tu
卷期/出版年月	49卷6期 (2016/12)
頁次	230-232
摘要	Vocal cord paralysis caused by lower cranial nerve paralysis originating from skull base fracture is rare. Delayed unilateral glossopharyngeal and vagus nerve paralysis after minor head injury is extremely rare. In this paper, we present the case of a 49-year-old man who sustained delayed-onset right vocal cord paralysis and dysphagia in a fighting accident. Highresolution computed tomography of the skull base revealed a bony disruption in the wall of the jugular foramen. Cranial nerve paralysis may be a distinguishable sign of skull base fracture in head injuries. Considering the severe consequences of the injury, comprehensive neurological and radiological examinations are required to evaluate the condition of the skull base. Such patients can be treated conservatively with nasogastric or gastrostomy feeding to avoid choking and aspiration. Thyroplasty may be considered for patients in whom choking persists for more than 6 months.
關鍵詞	head injury; head trauma; skull base fracture; vocal cord paralysis
分類	Case Report