Transient bilateral vocal fold paralysis after total thyroidectomy

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.