Sarcoidosis Presenting as Bilateral Vocal Fold Immobility

Justin M. Hintze, Sharon H. Gnagi, David G Lott

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


Bilateral true vocal fold paralysis is rarely attributable to inflammatory diseases. Sarcoidosis is a rare but important etiology of bilateral true vocal fold paralysis by compressive lymphadenopathy, granulomatous infiltration, and neural involvement. We describe the first reported case of sarcoidosis presenting as bilateral vocal fold immobility caused by direct fixation by granulomatous infiltration severe enough to necessitate tracheostomy insertion. In addition, we discuss the presentation, the pathophysiology, and the treatment of this disease with a review of the literature of previously reported cases of sarcoidosis-related vocal fold immobility. Sarcoidosis should therefore be an important consideration for the otolaryngologist's differential diagnosis of true vocal fold immobility.

Original languageEnglish (US)
JournalJournal of Voice
StateAccepted/In press - 2017


  • Bilateral vocal fold immobility
  • Laryngeal sarcoidosis
  • Neurosarcoidosis
  • Respiratory sarcoidosis
  • Sarcoidosis

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Speech and Hearing
  • LPN and LVN


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