{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T20:57:44Z","timestamp":1780779464656,"version":"3.54.1"},"reference-count":28,"publisher":"Cambridge University Press (CUP)","issue":"9","license":[{"start":{"date-parts":[[2012,6,29]],"date-time":"2012-06-29T00:00:00Z","timestamp":1340928000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2012,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215112001259_sec1\"><jats:title>Objectives:<\/jats:title><jats:p>To increase awareness of cervical osteophytes as an extremely rare cause of recurrent laryngeal nerve palsy; to outline the clinical approach to patients with unilateral vocal fold paralysis and to provide an update on the current management of osteoarthritis and osteophytes.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215112001259_sec2\"><jats:title>Case report:<\/jats:title><jats:p>An elderly man presented with right unilateral vocal fold immobility and a small phonatory gap. By a diagnosis of exclusion, a cervical osteophyte at the level of the sixth and seventh cervical vertebrae was shown to be the cause. The patient responded to speech therapy and no further intervention was required.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215112001259_sec3\"><jats:title>Method:<\/jats:title><jats:p>A literature review, using Medline, identified only one previously published case of vocal fold paralysis due to osteophytes secondary to osteoarthritis.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215112001259_sec4\"><jats:title>Conclusion:<\/jats:title><jats:p>The aetiology of unilateral paralysis of the hemilarynx must be fully investigated, as the innervating system has a protracted course, particularly on the left side. Degenerative cervical spine disease, although rare, should be considered as part of the differential diagnosis.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215112001259","type":"journal-article","created":{"date-parts":[[2012,8,15]],"date-time":"2012-08-15T11:17:04Z","timestamp":1345029424000},"page":"963-965","source":"Crossref","is-referenced-by-count":12,"title":["Cervical osteophytes causing vocal fold paralysis: case report and literature review"],"prefix":"10.1017","volume":"126","author":[{"given":"J S","family":"Virk","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Majithia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R K","family":"Lingam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Singh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2012,6,29]]},"reference":[{"key":"S0022215112001259_ref28","doi-asserted-by":"publisher","DOI":"10.1007\/s12565-010-0080-8"},{"key":"S0022215112001259_ref1","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(00)70253-1"},{"key":"S0022215112001259_ref27","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000254120.25411.ae"},{"key":"S0022215112001259_ref6","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000234937.46306.c2"},{"key":"S0022215112001259_ref2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-1622.1999.01613.x"},{"key":"S0022215112001259_ref13","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0347(199903)21:2<139::AID-HED7>3.0.CO;2-P"},{"key":"S0022215112001259_ref20","doi-asserted-by":"publisher","DOI":"10.1186\/ar2147"},{"key":"S0022215112001259_ref21","first-page":"1111","volume-title":"Oxford Textbook of Primary Medical Care","author":"Williams","year":"2004"},{"key":"S0022215112001259_ref15","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-6657(08)70229-4"},{"key":"S0022215112001259_ref17","doi-asserted-by":"publisher","DOI":"10.1016\/j.berh.2005.09.007"},{"key":"S0022215112001259_ref4","first-page":"443","article-title":"Sarcoidosis as a cause of paralysis of the recurrent laryngeal nerve. 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