Acute bilateral vocal fold paresis as a symptom of benign thyroid disease

1994 ◽  
Vol 108 (5) ◽  
pp. 433-434 ◽  
Author(s):  
Tomasz Kręcicki ◽  
Tadeusz Łukiénczuk ◽  
Maria Zalesska-Kręcicka ◽  
Waldemar Balcerzak
Keyword(s):  
Thyroid Disease ◽  
Vocal Fold ◽  
Laryngeal Nerve ◽  
Benign Thyroid Disease ◽  
Review Of The Literature ◽  
Nerve Paralysis ◽  
Vocal Fold Paresis ◽  
Laryngeal Nerve Paralysis ◽  
Benign Thyroid

AbstractA case of bilateral laryngeal nerve paralysis caused by a small goitre is reported. After thyroidectomy the return of vocal fold movements was observed. A review of the literature is presented. The possibility of acute airway distress caused by a slightly enlarged goitre is emphasized.

Vocal fold paralysis in the presence of thyroid disease: management strategies

2013 ◽  
Vol 127 (8) ◽  
pp. 768-772 ◽  
Author(s):  
F O'Duffy ◽  
C Timon
Keyword(s):  
Recurrent Laryngeal Nerve ◽  
Thyroid Disease ◽  
Vocal Fold ◽  
Vocal Fold Paralysis ◽  
Laryngeal Nerve ◽  
Recurrent Laryngeal Nerve Paralysis ◽  
Benign Thyroid Disease ◽  
Nerve Paralysis ◽  
Laryngeal Nerve Paralysis ◽  
Benign Thyroid

AbstractBackground:The presentation of vocal fold palsy with associated goitre has historically been considered to be due to malignancy with recurrent laryngeal nerve involvement.Method:In total, 830 consecutive patients who underwent thyroid surgery were reviewed. Patients with vocal fold paralysis and thyroid disease were examined to determine the aetiology of the paralysis.Results:Nine patients were identified with new onset vocal fold paralysis prior to thyroid surgery. Six of the patients with recurrent laryngeal nerve paralysis had benign thyroid disease, and for three of the patients the paralysis was secondary to malignancy.Conclusion:Recurrent laryngeal nerve paralysis in the presence of thyroid disease is not pathognomonic for malignancy. The current literature may underestimate the association between vocal fold paralysis and benign thyroid disease. The paper also highlights the importance of recurrent laryngeal nerve preservation in patients who present with palsy and thyroid disease; the relief of benign compression often leads to complete recovery of recurrent laryngeal nerve paralysis.

Recurrent laryngeal nerve palsy secondary to benign thyroid disease

1994 ◽  
Vol 108 (10) ◽  
pp. 878-880 ◽  
Author(s):  
J. E. Fenton ◽  
C. I. Timon ◽  
D. P. McShane
Keyword(s):  
Recurrent Laryngeal Nerve ◽  
Thyroid Disease ◽  
Nerve Palsy ◽  
Recurrent Laryngeal Nerve Palsy ◽  
Laryngeal Nerve ◽  
Recurrent Laryngeal Nerve Paralysis ◽  
Recurrent Nerve ◽  
Benign Thyroid Disease ◽  
Nerve Paralysis ◽  
Benign Thyroid

Abstract: A recurrent nerve palsy occurring in the presence of a goitre is considered to be caused by thyroid malignancy until proven otherwise.Three cases are described in which benign thyroid disease resulted in recurrent laryngeal nerve paralysis. Recent haemorrhage was implicated histologically as the possible aetiology in all three cases. The importance of identifying and preserving the recurrent laryngeal nerve in the surgical management is highlighted.

Effect of Vocal Fold Augmentation on Laryngeal Vibration in Simulated Recurrent Laryngeal Nerve Paralysis: A Study of Teflon and Phonogel

1989 ◽  
Vol 98 (3) ◽  
pp. 220-227 ◽  
Author(s):  
Terrence K. Trapp ◽  
Gerald S. Berke ◽  
David G. Hanson ◽  
Theodore S. Bell ◽  
Paul H. Ward
Keyword(s):  
Recurrent Laryngeal Nerve ◽  
Vocal Fold ◽  
Acoustic Analysis ◽  
Laryngeal Nerve ◽  
Recurrent Laryngeal Nerve Paralysis ◽  
Nerve Paralysis ◽  
Advantages And Disadvantages ◽  
Laryngeal Nerve Paralysis ◽  
Bovine Collagen ◽  
Vocal Fold Augmentation

Flaccid laryngeal nerve paralysis may be treated by vocal fold augmentation with Teflon injection, which is successful to various degrees depending on the subjective interpretation of the patient or clinician. A new material, Phonogel, consisting of cross-linked bovine collagen, is available but not approved for human use in this area. Ten dogs were submitted to videostroboscopy, photoglottography, electroglottography, and acoustic analysis in the normal state, with simulated recurrent laryngeal nerve paralysis, and with injection of either Teflon or Phonogel. A statistical comparison and the advantages and disadvantages of each material are discussed in relation to this study and its clinical use.

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