Research Article

Clinical Characteristics, Diagnosis, Treatment Approaches of Patients with Acute Dyspnea in ENT Clinic


  • Hatice Seçil Akyıldız
  • Zahide Çiler Büyükatalay
  • Gürsel Dursun

Received Date: 02.12.2018 Accepted Date: 27.02.2019 J Ankara Univ Fac Med 2019;72(1):91-96


In this study, we investigated the clinical features, examination and treatment approaches of patients with acute dyspnea who were hospitalized and treated at otorhinolaryngology department.

Materials and Methods:

The data of 66 (1.82%) patients with acute dyspnea were retrospectively studied between 2011 and 2017 at otorhinolaryngology department.


Vocal fold paralysis due to thyroid surgery is still the leading cause for majority of acute dyspnea patients presenting to otolaryngologydespite despite improved surgical techniques and neuromonitorisation. Infections and masses are other causes. Two patients (3.1%) were treated with medical treatment and observation and 64 patients (96.9%) were treated surgically. 11% of patients were treated with tracheotomy and direct laryngoscopy and/or bronchoscopy for diagnostic and therapeutic purposes. Seven patients (22.5%) were treated with tracheotomy, 24 patients (77.5%) were treated with posterior cordotomy and 1 patient (3.2%) was treated with posterior cordotomy and tracheotomy.


It is important to follow the clinical situation in the diagnosis and treatment approach of the patients with acute dyspnea. These findings assess the options of treatment with least invasive methods of remission.

Keywords: Acute Dyspnea, Emergency, Tracheotomy, Upper Airway Obstruction, Vocal Fold Paralysis

Full Text (Turkish)