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Article
August 1954

IMPORTANCE OF ENDOSCOPY IN PARALYSIS OF THE VOCAL CORDS

Author Affiliations

NEW YORK
From the New York Eye and Ear Infirmary and Lenox Hill Hospital.

AMA Arch Otolaryngol. 1954;60(2):154-157. doi:10.1001/archotol.1954.00720010160005
Abstract

THE IDEA for this paper occurred after several experiences in which cases of unilateral paralysis of the vocal cord, and especially the left vocal cord, were presented to me for diagnosis. There seemed to be some bewilderment and then dismay when I asked if an x-ray of the chest had been taken or if the chest had been examined. With the hope of reminding otolaryngologists of the peculiar anatomy of the recurrent laryngeal nerve, the importance of endoscopy in laryngeal paralysis is reviewed.

Paralysis of the vocal cord is usually of extralaryngeal origin, and, as has been stated many times, the etiology is frequently determined by the general examination by the internist. However, as laryngologists, we are requested to explain the reason for hoarseness, and, when on laryngoscopy we find a vocal cord paralysis, we are asked to account for the difficulty. This, of course, means that we must have

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