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Evaluation for laryngeal paralysis

Sonopath Forum

Sonopath Forum

Evaluation for laryngeal paralysis

    • 11 yr old MN Collie presented for coughing/gagging. Primary vet’s rule outs included infectious, Laryngeal disease
    • (Laryngeal paralysis), ME, neoplasia).
    • Rads of neck and thorax read by a boarded radiologist showed laryngeal ventricle gas which can be a normal finding or due to laryngeal paralysis. No radiographic evidence of a cervical mass. Normal thorax.
    • Ultrasound of thyroid region was normal.
    • Have not scanned the larynx before.  These are 3 second clips.  Any evidence of laryngeal paralysis?  Is this a reliable way to evaluate for laryngeal paralysis?  Patient was awake and lying in dorsal recumbence for this scan.

Comments

EL
March 28, 2021 at 5:59 pm -

I don’t do laryngeal studies

I don’t do laryngeal studies for lar par myself. Anyone else have experience here?

rlobetti
March 28, 2021 at 6:35 pm -

I find that the easiest and

I find that the easiest and quickest way to diagnosis is under light anesthesia with direct visualization of the larynx for paralysis, nodules, neoplasia. Also allows to biopsy any obvious lesions.

Electrocute
March 28, 2021 at 9:52 pm -

Yes, I would agree.  I saw

Yes, I would agree.  I saw still pics in Dominique’s book and was wondering if anyone out there is doing this.  And perhaps advice on how….longer clips?  Concurrent live videos with someone noting inspiration and expiration.

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