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[Laryngeal immobility after thyroidectomy].

B Baujat1, H Delbove, I Wagner

  • 1Service ORL et chirurgie de la face et du cou, hôpital Foch, 40, rue Worth, 92151 Suresnes, France.

Annales De Chirurgie
|April 4, 2001
PubMed
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Thyroid surgery can cause vocal fold immobility. Advances in diagnosis and treatments like intrafold injections or laser cordectomy offer improved vocal rehabilitation and airflow, minimizing invasive procedures.

Area of Science:

  • Otolaryngology
  • Thyroid Surgery Complications
  • Vocal Fold Physiology

Background:

  • Vocal fold immobility is a frequent complication following thyroid gland surgery.
  • Recent advancements have improved the diagnosis and management of this complication.

Purpose of the Study:

  • To review current diagnostic tools and therapeutic strategies for vocal fold immobility after thyroid surgery.
  • To highlight less invasive surgical options for vocal rehabilitation.

Main Methods:

  • Laryngeal electromyography, stroboscopy, and computerized voice analysis for diagnosis.
  • Intrafold injections (silicone, autologous fat) for unilateral paralysis.
  • Laser-assisted partial posterior cordectomy for bilateral paralysis.

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Main Results:

  • Diagnostic tools aid in differentiating nerve paralysis from intubation trauma and monitoring recovery.
  • Intrafold injections are increasingly routine for unilateral vocal fold paralysis rehabilitation.
  • Laser cordectomy effectively restores laryngeal airflow in bilateral paralysis, avoiding tracheotomy with minimal vocal impact.

Conclusions:

  • Early, multidisciplinary management of vocal fold immobility is crucial.
  • Current techniques allow for appropriate and less invasive surgical interventions.
  • Advances offer better outcomes for patients experiencing vocal fold dysfunction post-thyroidectomy.