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Identification and Protection of the Recurrent Laryngeal Nerve during Transoral Robotic Thyroidectomy
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Identification and Protection of the Recurrent Laryngeal Nerve during Transoral Robotic Thyroidectomy

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Transient bilateral vocal fold paralysis after total thyroidectomy.

Alexander Edward Dy1, Jose Florencio F Lapeña2

  • 1Department of Otorhinolaryngology, Philippine General Hospital, University of the Philippines, Ermita, Manila 1000 Philippines.

Kulak Burun Bogaz Ihtisas Dergisi : KBB = Journal of Ear, Nose, and Throat
|December 17, 2016
PubMed
Summary
This summary is machine-generated.

Vocal fold paralysis after thyroidectomy can be concerning, but this case showed immediate, full recovery. Understanding potential causes is key for managing this complication.

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Area of Science:

  • Otolaryngology
  • Head and Neck Surgery
  • Endocrinology

Background:

  • Vocal fold paralysis is a recognized complication following thyroidectomy.
  • It can cause significant patient distress and impact quality of life.

Observation:

  • A 56-year-old woman developed bilateral vocal fold paralysis immediately after thyroidectomy and neck dissection for a large goiter.
  • The patient presented with compressive symptoms due to the goiter.

Findings:

  • Despite the immediate onset of bilateral vocal fold paralysis, the patient experienced a full recovery of vocal fold motion by the next day.
  • The paralysis occurred after a routine thyroidectomy and neck dissection.

Implications:

  • This case highlights the possibility of rapid, spontaneous recovery from vocal fold paralysis post-thyroidectomy.
  • Further investigation into surgical, metabolic, and anesthetic factors contributing to vocal fold paralysis is warranted.
  • Effective management strategies and patient counseling are crucial for addressing this complication.