Related Experiment Video
Updated: Jul 8, 2026

Identification and Protection of the Recurrent Laryngeal Nerve during Transoral Robotic Thyroidectomy
Published on: October 24, 2025
Vocal fold paresis and paralysis: what the thyroid surgeon should know
Adam D Rubin1, Robert T Sataloff
1Lakeshore Professional Voice Center, Lakeshore Ear, Nose, and Throat Center, 21000 East 12 Mile Road, Suite 111, St. Clair Shores, MI 48081, USA. rubinad@sbcglobal.net
Abstract:
The thyroid surgeon must have a thorough understanding of laryngeal neuroanatomy and be able to recognize symptoms of vocal fold paresis and paralysis. Neuropraxia may occur even with excellent surgical technique. Patients should be counseled appropriately, particularly if they are professional voice users. Preoperative or early postoperative changes in voice, swallowing, and airway function should prompt immediate referral to an otolaryngologist. Early recognition and treatment may avoid the development of complications and improve patient quality of life.
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