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Updated: Jul 29, 2025

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Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma
Published on: September 15, 2023
842
Delayed Horner's Syndrome Post Thyroid Carcinoma Surgery.
Sangeetha Manoharan1, Mushawiahti Mustapha1, Shahrun Nizam Abdullah Suhaimi2
1Ophthalmology, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, MYS.
Cureus
|May 25, 2023
Summary
Post-thyroidectomy Horner
Area of Science:
- Ophthalmology
- Endocrinology
- Oncology
Background:
- Thyroidectomy is a common surgical procedure.
- Papillary thyroid carcinoma is the most frequent type of thyroid cancer.
- Modified radical neck dissection increases the risk of complications.
Observation:
- A patient developed Horner's syndrome after thyroidectomy and neck dissection.
- Symptoms included right eye ptosis and miosis.
- A phenylephrine test indicated postganglionic neuron involvement.
Findings:
- Post-thyroidectomy Horner's syndrome is a rare complication.
- The condition is associated with radical neck dissection.
- Symptoms can improve with conservative management.
Implications:
- Early recognition and diagnosis of Horner's syndrome are important.
- Patients should be counseled about potential facial disfigurement.
- Conservative treatment can lead to symptom improvement over time.
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