Laryngeal paralysis
Laryngeal Paralysis is a medical condition characterized by the inability of the larynx or voice box to open and close properly. This condition is most commonly seen in dogs, particularly in large breeds, but can also occur in cats and humans.
Causes
Laryngeal paralysis can be caused by a variety of factors. In many cases, it is idiopathic, meaning the cause is unknown. However, it can also be a result of nerve damage due to trauma, tumors, or neuromuscular diseases. In dogs, it is often associated with hypothyroidism or a condition known as Geriatric Onset Laryngeal Paralysis Polyneuropathy (GOLPP).
Symptoms
The symptoms of laryngeal paralysis can vary depending on the severity of the condition. Common symptoms include changes in voice, difficulty breathing, coughing, and gagging. In severe cases, it can lead to life-threatening respiratory distress.
Diagnosis
Diagnosis of laryngeal paralysis is typically made through a combination of physical examination, history, and direct visualization of the larynx under anesthesia. Other diagnostic tests such as radiographs, blood tests, and nerve conduction studies may also be used.
Treatment
Treatment for laryngeal paralysis depends on the severity of the condition and the underlying cause. In mild cases, lifestyle modifications such as weight management and avoiding heat and stress may be sufficient. In more severe cases, surgical intervention may be necessary. The most common surgical procedure is a laryngoplasty, which involves tying back one side of the larynx to allow for easier breathing.
Prognosis
The prognosis for laryngeal paralysis varies depending on the underlying cause and the severity of the condition. With appropriate treatment, many animals can live a relatively normal life. However, complications such as aspiration pneumonia can occur and may impact the overall prognosis.
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Contributors: Prab R. Tumpati, MD