대동맥류로 인한 좌측 반회후두신경마비 2례

Two Cases of Recurrent Laryngeal Nerve Palsy Related to Aortic Aneurysm

  • 최홍식 (연세대학교 의과대학 이비인후과교실, 음성언어의학연구소) ;
  • 강성석 (연세대학교 의과대학 이비인후과교실, 음성언어의학연구소) ;
  • 문상우 (연세대학교 의과대학 이비인후과교실, 음성언어의학연구소) ;
  • 김명상 (연세대학교 의과대학 이비인후과교실, 음성언어의학연구소)
  • 발행 : 1997.11.01

초록

After the first report of mitral stenosis as a cause of recurrent laryngeal nerve palsy by Ortner in 1897, many authors have described that some kinds of cardiovascular disease might contribute to the development of recurrent laryngeal nerve palsy. The estimated rate of aortic aneurysm related with recurrent laryngeal nerve palsy is about 5%. Aortic aneurysm is classified into 3 types according to the involving segment of aorta in which aneurysms develop, and the first class-aneurysm in ascending aorta and aortic arch-is known to be the only type related to recurrent laryngeal nerve palsy. Recently we experienced two cases of recurrent laryngeal nerve palsy each of which had aneurysm on aortic arch as a major contributing factor. We report these cases with brief review of the literature.

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