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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License
Article
A Systematic Review of Ortner’s Syndrome
Author(s)
Diogo Hissashi Kyaga1, Gabriel Ribeiro de Souza1, José Héracles Rodrigues Ribeiro de Almeida1, Leandro Nobeschi2 and Marcelo Calil Burihan2
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DOI:10.17265/1548-6648/2018.01.002
Affiliation(s)
1. Students of Medical School, Santo Amaro University, São Paulo, São Paulo 04829-900, Brazil
2. Professors of Anatomy of the Medical School, Santo Amaro University, São Paulo, São Paulo 04829-900, Brazil
ABSTRACT
Ortner’s syndrome, also
known as the syndrome cardiovocal, is characterized by the compression,
stretching or dissection of recurrent laryngeal nerve, secondarily caused by
cardiovascular abnormal. Through a systematic review about the issue, on the
main bases data, we named the main aspects which go around the syndrome, from
its symptoms to its treatments based on its different causes, such as, valvar
mitral stenosis, aortic aneurysm among others whose effect brings about a
compression of the recurrent laryngeal nerve. Therefore, the left recurrent
laryngeal nerve is more affected because of its anatomical position. Due to its
path surrounding aortic arch and passing between pulmonary artery and aortic
arch, it has a greater chance to compression. Its clinical importance is
related to differential diagnosis which is also connected to many different
pathologies such as neoplasia (pulmonary, thyroid, mediastinal, esophageal) and
surgical iatrogenic causes which may affect the recurrent laryngeal nerve
causing various symptoms related to this involvement.
KEYWORDS
Recurrent laryngeal nerve, hoarseness, paralysis, aortic aneurysm, syndrome, vocal cord paralysis.
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