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Year : 2015  |  Volume : 5  |  Issue : 2  |  Page : 44-46

Student's corner: Cardiovocal hoarseness - Challenges in diagnosis and management

Department of ENT, Pondicherry Institute of Medical Sciences, Puducherry, India

Correspondence Address:
Dr. Jayita Poduval
5-B-7, JIPMER Quarters, Dhanvantari Nagar, Puducherry - 605 006
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2230-9748.183965

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Cough and hoarseness are common symptoms that may be encountered in general or specialist clinical practice. Hoarseness, especially when found in isolation, could have an origin other than in the airway. An important example of this is cardiovocal hoarseness. A literature review of cardiovocal hoarseness or Ortner's syndrome reveals many clinical presentations. Several case reports have been published, but none so far has put into context issues that could come in the way of diagnosis and management of such patients. Hoarseness as a symptom, when not explained by usual causes such as a preceding upper respiratory tract infection or allergy, must be expediently looked into by simple means such as an indirect laryngoscopy. If a vocal cord paralysis is evident, especially on the left side, the possibility of an underlying cardiac condition must be borne in mind. Surgical or nonsurgical intervention could resolve the problem except in cases where the patient is extremely moribund.

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