A 46-year-old female teacher presented for upper gastrointestinal endoscopy. A standard Olympus endoscope (GIF H190, Olympus, Center Valley, Pennsylvania, USA) was used for evaluation of gastritis. After 12 hours, the patient developed hoarseness, throat pain, and swelling. A computed tomography (CT) scan, barium swallow, and laryngeal electromyography (LEMG) studies showed normal findings. Strobovideolaryngoscopy showed a higher left vocal cord with axis deviation and persistent glottal gap of

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... 1 mm (• " Fig. 1 ). After 2 months the patient underwent laryngoplasty with micronized dermis injection and reduction of the left arytenoid dislocation. Dysphonia gradually improved over 6 months with voice therapy.