A rare syndrome characterized by vocal cord paralysis and droopy eyelids.
Vocal cord paralysis commonly results from the accidental severing of the recurrent laryngeal nerve, or of one of its extralaryngeal branches, during thyroidectomy. Other causes include pressure from a thoracic aortic aneurysm or from an enlarged atrium (in patients with mitral stenosis), bronchial or esophageal carcinoma, hypertrophy of the thyroid gland, trauma (such as neck injuries) and intubation, and neuritis due to infections or metallic poisoning. Vocal cord paralysis can also result from hysteria and, rarely, lesions of the central nervous system.
The signs and symptom information on this page attempts to provide a list of some possible signs and symptoms of Tucker syndrome. This medical information about signs and symptoms for Tucker syndrome has been gathered from various sources, may not be fully accurate, and may not be the full list of Tucker syndrome signs or Tucker syndrome symptoms. Furthermore, signs and symptoms of Tucker syndrome may vary on an individual basis for each patient. Only your doctor can provide adequate diagnosis of any signs or symptoms and whether they are indeed Tucker syndrome symptoms.
Treatment for unilateral vocal cord paralysis consists of injection of Teflon into the paralyzed cord, under direct laryngoscopy. This procedure enlarges the cord and brings it closer to the other cord, which usually strengthens the voice and protects the airway from aspiration. Thyroplasty also serves to reposition the vocal cord, but in this procedure an implant is placed through a neck incision. The ansa cervicalis nerve transfer allows for reinnervation of the muscles of the vocal cord. Bilateral cord paralysis in an adducted position necessitates a tracheostomy.
Alternative treatments for adults include endoscopic arytenoidectomy to open the glottis, and lateral fixation of the arytenoid cartilage through an external neck incision. Excision or fixation of the arytenoid cartilage improves airway patency but produces residual voice impairment.
Treatment for hysterical aphonia may include psychotherapy and hypnosis.