Recurrent Laryngeal Nerve Palsy in Sarcoidosis Diagnosis and Management

Hoarseness of voice secondary to recurrent laryngeal nerve palsy with mediastinal lymphadenopathy is usually thought of as malignancy, tuberculosis, pneumoconiosis, or a postoperative complication to the nerve [1,2]. Sarcoidosis has been implicated in few cases and this is usually managed by corticosteroids with good results [3]. The indications for vocal cord injection therapy have been expanded to include treatment for vocal cord paralysis, paresis, atrophy, and scar or sulcus [4].