Transient bilateral vocal fold paralysis after total thyroidectomy

Yıl 2016, Cilt: 26 Sayı: 6, 356 - 359, 22.12.2016

Alexander Edward José Florencio F. Lapeña

Öz

Vocal fold paralysis is a serious complication of thyroidectomy that is worrisome for health providers and potentially disastrous for the patient and family. A 56-year-old woman presented with bilateral vocal fold paralysis immediately after routine thyroidectomy and neck dissection for a large goiter with compressive symptoms. She was extubated the next day with full recovery of vocal fold motion. We discuss possible causes of vocal fold paralysis, including surgical, metabolic and anesthetic factors.

Anahtar Kelimeler

Bilateral vocal cord paresis, complications, recurrent laryngeal nerve, thyroidectomy, total vocal cord paralysis, transient vocal fold paralysis

Total tiroidektomi sonrası geçici iki taraflı vokal kord felci

Öz

Vokal kord felci, tiroidektominin ciddi bir komplikasyonu olmakla birlikte sağlık hizmeti sunucuları için endişe vericidir ve potansiyel olarak hasta ve ailesi için felaket olabilir. Elli altı yaşında bir kadın hasta sıkıştırıcı semptomları olan geniş bir guatr için rutin tiroidektomi ve boyun diseksiyonundan hemen sonra iki taraflı vokal kord felci ile başvurdu. Hasta vokal kord hareketinin tamamen iyileşmesi ile ertesi gün ekstübe edildi. Bu yazıda vokal kord felci nedenleri için cerrahi, metabolik ve anestetik faktörler dahil olmak üzere olası açıklamalar tartışıldı

Anahtar Kelimeler

İki taraflı vokal kord parezi, komplikasyonlar, tekrarlayan larengeal sinir, tiroidektomi, toplam vokal kord felci, geçici vokal kıvrım felci

Kaynakça

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