{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T01:46:02Z","timestamp":1767923162976,"version":"3.49.0"},"reference-count":9,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2015,4,10]]},"abstract":"<jats:p>Bilateral vocal cord paralysis leading to stridor is a known but rare complication of Parkinson\u2019s disease (PD) and a recognised complication of multiple system atrophy (MSA). Tracheostomy is a commonly offered treatment, leading to substantial adaptations and lifestyle changes for the patient. Patients can struggle to manage a tracheostomy due to the tremor and bradykinesia associated with their parkinsonism. We report a case of bilateral vocal cord paralysis leading to significant stridor in a patient with atypical parkinsonism (probable MSA). To avoid tracheostomy, our patient underwent successful right-sided laser arytenoidectomy and posterior cordotomy as a day-case procedure. At follow-up, he had a weaker voice but complete recovery from the shortness of breath and stridor. He was very satisfied with the outcome. We conclude that, despite resulting in a weaker voice, this procedure offers an option to the patient that improves quality of life.<\/jats:p>","DOI":"10.1136\/bcr-2014-206156","type":"journal-article","created":{"date-parts":[[2015,5,4]],"date-time":"2015-05-04T03:45:21Z","timestamp":1430711121000},"page":"bcr2014206156","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":12,"title":["Laser arytenoidectomy and posterior cordotomy in a patient with bilateral vocal cord paralysis due to multiple system atrophy"],"prefix":"10.1136","volume":"2015","author":[{"given":"Ayesha","family":"Mahmud","sequence":"first","affiliation":[{"name":"ENT Department, University Hospital Coventry & Warwickshire, Coventry, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucy H A","family":"Strens","sequence":"additional","affiliation":[{"name":"Neurology Department, University Hospital Coventry & Warwickshire, Coventry, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miroslav","family":"Tedla","sequence":"additional","affiliation":[{"name":"ENT Department, University Hospital Coventry & Warwickshire, Coventry, UK"},{"name":"ENT University Department, Medical School of Comenius University, Bratislava, Slovakia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2015,5,4]]},"reference":[{"key":"2025082707254254000_2015.may03_1.bcr2014206156.1","doi-asserted-by":"crossref","first-page":"831","DOI":"10.1258\/002221505774481345","article-title":"Laser arytenoidectomy for bilateral vocal fold palsy in Parkinson's disease","volume":"119","author":"Qayyum","year":"2005","journal-title":"J Laryngol Otol"},{"key":"2025082707254254000_2015.may03_1.bcr2014206156.2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.128.12.1404"},{"key":"2025082707254254000_2015.may03_1.bcr2014206156.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.anl.2005.11.018"},{"key":"2025082707254254000_2015.may03_1.bcr2014206156.4","doi-asserted-by":"publisher","DOI":"10.1212\/01.wnl.0000260975.74618.d7"},{"key":"2025082707254254000_2015.may03_1.bcr2014206156.5","doi-asserted-by":"publisher","DOI":"10.1212\/01.wnl.0000307657.51386.fa"},{"key":"2025082707254254000_2015.may03_1.bcr2014206156.6","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-6657(12)70757-6"},{"key":"2025082707254254000_2015.may03_1.bcr2014206156.7","doi-asserted-by":"crossref","first-page":"713","DOI":"10.5664\/jcsm.2272","article-title":"Effect of laser arytenoidectomy on respiratory stridor caused by multiple system atrophy","volume":"8","author":"Chitose","year":"2012","journal-title":"J Clin Sleep Med"},{"key":"2025082707254254000_2015.may03_1.bcr2014206156.8","doi-asserted-by":"publisher","DOI":"10.1053\/ajot.2000.16174"},{"key":"2025082707254254000_2015.may03_1.bcr2014206156.9","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2005.04.025"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2014-206156","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T14:25:48Z","timestamp":1756304748000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2014-206156"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,5,4]]},"references-count":9,"alternative-id":["10.1136\/bcr-2014-206156"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2014-206156","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,5,4]]}}}