台灣外科醫學會雜誌

中文 | ENG

	第57卷第6期 2024-11 Emerging robot-guided techniques in endodontic microsurgery
.........................
	第57卷第6期 2024-11 Management of subcapsular hematoma after living donor liver transplant
.........................
	第57卷第6期 2024-11 Urethral pseudodiverticulum with left-sided nonfunctioning kidney: Case report
.........................
	第57卷第6期 2024-11 Strategy to minimize surgical defect of dermatofi brosarcoma protuberans
.........................
	第57卷第6期 2024-11 Rapunzel syndrome—An uncommon disease with varied common presentations
.........................
	第57卷第6期 2024-11 Minimally invasive approaches to management of acute necrotizing pancreatitis
.........................
	第57卷第6期 2024-11 Innovative surgical technique: Addressing ethical concerns
.........................
	第57卷第6期 2024-11 Emergency surgery and HIV screening, clinical or universal scenarios?
.........................
	第57卷第6期 2024-11 High mortality rates associated with parainfl uenza virus, not metapneumovirus, infections in lung transplant recipients: A retrospective observation
.........................
	第57卷第6期 2024-11 Predatory clinical surgery journal, rescinding the decision to accept submitted article and unjustifi ed rejection and unprofessional conduct
.........................
	第57卷第6期 2024-11 Sacrifi cial of unilateral vertebral artery for fragment removal following vertebral artery injury by air rif le pellet gunshot: A case report
.........................
	第57卷第6期 2024-11 Evaluation of three-dimensional reconstruction technology in precision hepatectomy for primary liver cancer
.........................
	第57卷第6期 2024-11 Exploring the seasonal variation of anorectal disease: A comprehensive study
.........................
	第57卷第6期 2024-11 Efficacy of the minimal-invasive vacuum-assisted biopsy under direct visualization with ultrasound for impalpable breast lesions in Taiwanese female: A retrospective case-control study
.........................
	第57卷第6期 2024-11 Computed tomography on the 5th postoperative day helps distinguish grade C from grade B pancreatic fi stula after pancreaticoduodenectomy for periampullary cancer
.........................
	第57卷第6期 2024-11 Pressurized intraperitoneal aerosol chemotherapy (PIPAC): Why it will transform cancer surgery
.........................
	第57卷第5期 2024-9 Evaluating the pros and cons of anonymous commenting on PubPeer
.........................
	第57卷第5期 2024-9 Infected urachal cyst with urethral stricture disease presenting with intraperitoneal perforation of cyst and pyoperitoneum
.........................
	第57卷第5期 2024-9 COVID-19 vaccination and acute cholecystitis: A rare but important clinical problem
.........................
	第57卷第5期 2024-9 Hobnail-shaped primary prostatic urethral calculus due to urethral stricture disease
.........................

登入帳號才能閱讀全文

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