Bhatt Prashant, Pokharel Apar
Department of Otorhinolaryngology and Head and Neck Surgery, College of Medical Sciences, Bharatpur, Chitwan, Nepal.
JNMA J Nepal Med Assoc. 2019 Mar-Apr;57(216):116-118. doi: 10.31729/jnma.4253.
Recurrent Laryngeal Nerve palsy following thyroidectomy is usually attributed to surgery whereas sometimes the cause can be non-surgical and can result in adductor palsy. Bilateral Recurrent Laryngeal Nerve paralysis is a rare complication of thyroidectomy. We present a case of a 35 years old female who developed dysphonia following thyroidectomy. The clinical findings and recovery were suggestive of a non-surgical cause for palsy. The management of these patients differs and the knowledge in this regard is very important for the surgeons. The non-surgical and surgical cause of adductor palsy differs in presentation and management. Tracheostomy is not required, and recovery of the nerve occurs in most cases. Keywords: palsy; recurrent laryngeal nerve; total thyroidectomy.
甲状腺切除术后喉返神经麻痹通常归因于手术，而有时病因可能是非手术性的，可导致内收肌麻痹。双侧喉返神经麻痹是甲状腺切除术后一种罕见的并发症。我们报告一例35岁女性，在甲状腺切除术后出现发音困难。临床发现和恢复情况提示麻痹的病因是非手术性的。这些患者的处理方法不同，这方面的知识对外科医生非常重要。内收肌麻痹的非手术和手术病因在表现和处理上有所不同。不需要行气管切开术，大多数情况下神经会恢复。关键词：麻痹；喉返神经；全甲状腺切除术
