Ultrasonic Scissors-Assisted ‘Open-Book’ Thyroidectomy in Massive Goiter Compressing Airway and Causing Unilateral Vocal Cord Paralysis
- Author:
Irfan Mohamad
;
Ali Ango Yaroko
;
Mohd Najeb Soleh
;
Centilnathan Periasamy
- Publication Type:Case Reports
- Keywords:
Thyroid, massive, compression, airway, vocal cord paralysis
- From:
The Medical Journal of Malaysia
2013;68(2):183-185
- CountryMalaysia
- Language:English
-
Abstract:
A massive goiter may constrict the trachea resulting in
shortness of breath. Recurrent laryngeal nerve compression
may cause vocal cord paralysis. We highlight a case of a 62-year-old female with a 30 year history of an anterior neck swelling gradually increasing in size. She presented with acute symptoms of upper airway obstruction and voice
changes. Emergency thyroidectomy was performed by
dividing the middle part of the gland using ultrasonic
scissors. The recovery was uneventful and the patient
regained normal vocal cord function post operatively.
