{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:03:32Z","timestamp":1756425812552,"version":"3.44.0"},"reference-count":12,"publisher":"BMJ","issue":"11","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2022,11,3]]},"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:p>Dysphonia is a common presenting symptom to the outpatient ear, nose and throat team and the need to have a systematic approach to its investigation and management is imperative. Red flag features combined with clinical examination including flexible nasoendoscopy will help to identify laryngeal causes of dysphonia. Vocal cord palsy can have both laryngeal and extralaryngeal aetiologies including Ortner\u2019s syndrome. We present a case where a woman in her 70s was referred with persistent hoarseness, found to have an isolated vocal cord palsy with CT scan revealing a very large hiatus hernia producing mass effect at the aortopulmonary window with no other pathology identified. To our knowledge, this is the second case in the literature of a hiatus hernia causing a vocal cord palsy. This case underpins the need for prompt assessment by flexible laryngoscopy, and consideration of extralaryngeal causes of vocal cord palsy during a dysphonia assessment.<\/jats:p>","DOI":"10.1136\/bcr-2022-252022","type":"journal-article","created":{"date-parts":[[2022,11,15]],"date-time":"2022-11-15T11:37:07Z","timestamp":1668512227000},"page":"e252022","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Isolated vocal cord palsy secondary to a paraoesophageal hiatus hernia: a rare variant of Ortner\u2019s syndrome"],"prefix":"10.1136","volume":"15","author":[{"given":"Sean","family":"Dolan","sequence":"first","affiliation":[{"name":"Otolaryngology, Glasgow Royal Infirmary, Glasgow, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claire","family":"McArthur","sequence":"additional","affiliation":[{"name":"Radiology, Glasgow Royal Infirmary, Glasgow, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Malcolm A","family":"Buchanan","sequence":"additional","affiliation":[{"name":"Otolaryngology, Glasgow Royal Infirmary, Glasgow, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2022,11,15]]},"reference":[{"key":"2025082801370764000_15.11.e252022.1","first-page":"114","article-title":"An unusual case of Cardiovocal syndrome","volume":"6","author":"Bajpai","year":"2019","journal-title":"J Health Res"},{"key":"2025082801370764000_15.11.e252022.2","first-page":"753","article-title":"Recurrent nerve palsy in patient with mitral stenosis","volume":"10","author":"Ortner","year":"1897","journal-title":"Wien Klin Wochenschr"},{"key":"2025082801370764000_15.11.e252022.3","doi-asserted-by":"crossref","first-page":"88","DOI":"10.17987\/icfj.v4i0.159","article-title":"Hoarseness of Voice as a Primary Presentation of Pulmonary Hypertension: a Rare case of Ortner\u2019s (Cardio-vocal) Syndrome","volume":"4","author":"Naeem","year":"2015","journal-title":"International Cardiovascular Forum Journal"},{"key":"2025082801370764000_15.11.e252022.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.hlc.2007.04.007"},{"key":"2025082801370764000_15.11.e252022.5","doi-asserted-by":"crossref","first-page":"611","DOI":"10.1016\/S0022-5223(19)34364-8","article-title":"Paralyzed left vocal cord associated with ligation of patent ductus arteriosus","volume":"98","author":"Fan","year":"1989","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2025082801370764000_15.11.e252022.6","doi-asserted-by":"publisher","DOI":"10.1378\/chest.95.5.1139"},{"key":"2025082801370764000_15.11.e252022.7","first-page":"91","article-title":"Ortner\u2019s syndrome associated with primary pulmonary hypertension","volume":"21","author":"Kagal","year":"1975","journal-title":"Postgrad Med J"},{"key":"2025082801370764000_15.11.e252022.8","doi-asserted-by":"publisher","DOI":"10.1378\/chest.62.4.508"},{"key":"2025082801370764000_15.11.e252022.9","first-page":"88","article-title":"Unilateral recurrent nerve palsy and cardiovascular disease - Ortner's syndrome","volume":"15","author":"Klee","year":"2017","journal-title":"J Cardiol Cases"},{"key":"2025082801370764000_15.11.e252022.10","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-6757(99)90087-6"},{"key":"2025082801370764000_15.11.e252022.11","doi-asserted-by":"publisher","DOI":"10.1136\/emj.2011.114363"},{"key":"2025082801370764000_15.11.e252022.12","first-page":"3","article-title":"Ortner (cardio-vocal) syndrome: a collective review","volume":"46","author":"Yuan","year":"2014","journal-title":"Kuwait Medical Journal"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2022-252022","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T08:37:15Z","timestamp":1756370235000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2022-252022"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11]]},"references-count":12,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2022,11,15]]},"published-print":{"date-parts":[[2022,11]]}},"alternative-id":["10.1136\/bcr-2022-252022"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2022-252022","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2022,11]]}}}