Esophagogastroduodenoscopy was performed, and the only abnormality was a Schatzski ring at the gastroesophageal junction. A modified barium swallow study showed aspiration and hypopharyngeal pooling of contrast. Contrast enhanced computed tomography of the neck did not reveal any abnormality. The following day, a flexible fiberoptic laryngoscopy revealed ulcerations of the right hemilarynx, pooling of secretions and a complete right vocal fold paralysis (Figure 1). The left hemilarynx was unaffected.
—John M. Carter, MD, David Cai, MD and Brian A. Moore, MD, Tulane University School of Medicine and Ochsner Clinic Foundation, New Orleans.
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