# Laryngeal Edema and Dysphonia After the Use of Nasal Steroid Rinses

## TL;DR

A 60-year-old man developed voice and swallowing issues after using nasal steroid rinses, which resolved after stopping the treatment.

## Contribution

Highlights a rare but important side effect of intranasal corticosteroid rinses on vocal and laryngeal function.

## Key findings

- Intranasal corticosteroid rinses caused dysphonia and laryngeal edema in a patient with chronic sinusitis.
- Symptoms resolved after discontinuing the nasal steroid treatment.
- This case suggests a potential link between nasal steroid use and vocal function impairment.

## Abstract

Chronic sinusitis and allergic rhinitis are common conditions characterized by the inflammation of the nasal and sinus mucosa. While traditionally associated with symptoms such as nasal congestion and facial pain, recent research has shown that these disorders can also have a broader impact on vocal function. These symptoms are usually managed with intranasal corticosteroid (INCS) rinses or systemic corticosteroids. We present a case of a 60-year-old man with a history of chronic, recurrent sinusitis in which the traditional treatment with intranasal corticosteroid rinses caused dysphonia, dysphagia, and laryngeal edema. After multiple clinic visits and the cessation of the rinses, the patient's symptoms resolved entirely.