Vocal cord laterofixation as early treatment for acute bilateral abductor paralysis after thyroid surgery

J. Jóri, L. Rovó, J. Czigner

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

Bilateral vocal cord palsy due to a lesion of the recurrent laryngeal nerves is a serious complication of thyroid operations, with the airway obstruction usually necessitating tracheostomy. In the cases presented, a stable airway was ensured with endolaryngeal cord laterofixation instead of tracheostomy. The operation was performed with the endo-extralaryngeal needle carrier instrument devised by Lichtenberger. During the operation, only minor surgical trauma occurred in the larynx. The fixing thread was then removed following recovery of contralateral vocal cord function, resulting in an improvement in the voice. Four patients are described who suffered bilateral recurrent laryngeal nerve palsy after thyroid gland operations. During the follow-up period of 3-12 months, airway stability was demonstrated by regular spirometric measurements. The simple method recommended spares patients the possible complications of tracheostomy.

Original languageEnglish
Pages (from-to)375-378
Number of pages4
JournalEuropean Archives of Oto-Rhino-Laryngology
Volume255
Issue number7
DOIs
Publication statusPublished - 1998

Fingerprint

Vocal Cords
Tracheostomy
Paralysis
Vocal Cord Paralysis
Thyroid Gland
Recurrent Laryngeal Nerve
Airway Obstruction
Larynx
Needles
Therapeutics
Wounds and Injuries

Keywords

  • Acute endolaryngeal vocal cord laterofixation
  • Bilateral vocal cord palsy
  • Thyroid surgery complications
  • Tracheostomy
  • Upper airway obstruction

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

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abstract = "Bilateral vocal cord palsy due to a lesion of the recurrent laryngeal nerves is a serious complication of thyroid operations, with the airway obstruction usually necessitating tracheostomy. In the cases presented, a stable airway was ensured with endolaryngeal cord laterofixation instead of tracheostomy. The operation was performed with the endo-extralaryngeal needle carrier instrument devised by Lichtenberger. During the operation, only minor surgical trauma occurred in the larynx. The fixing thread was then removed following recovery of contralateral vocal cord function, resulting in an improvement in the voice. Four patients are described who suffered bilateral recurrent laryngeal nerve palsy after thyroid gland operations. During the follow-up period of 3-12 months, airway stability was demonstrated by regular spirometric measurements. The simple method recommended spares patients the possible complications of tracheostomy.",
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N2 - Bilateral vocal cord palsy due to a lesion of the recurrent laryngeal nerves is a serious complication of thyroid operations, with the airway obstruction usually necessitating tracheostomy. In the cases presented, a stable airway was ensured with endolaryngeal cord laterofixation instead of tracheostomy. The operation was performed with the endo-extralaryngeal needle carrier instrument devised by Lichtenberger. During the operation, only minor surgical trauma occurred in the larynx. The fixing thread was then removed following recovery of contralateral vocal cord function, resulting in an improvement in the voice. Four patients are described who suffered bilateral recurrent laryngeal nerve palsy after thyroid gland operations. During the follow-up period of 3-12 months, airway stability was demonstrated by regular spirometric measurements. The simple method recommended spares patients the possible complications of tracheostomy.

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