1.Bilateral Vocal Cord Palsy after Thyroidectomy Detected by McGrath Videolaryngoscope.
Kwangseob SHIN ; Guie Yong LEE ; Hee Jung BAIK ; Chi Hyo KIM
Korean Journal of Endocrine Surgery 2016;16(3):85-88
Bilateral vocal cord palsy (BVCP) is a rare complication of thyroid surgery, and it is confusing and frustrating for both patients and medical staff. We found postoperative vocal cord dysfunction using a McGrath videolaryngoscope from a patient with stridor and dyspnea after thyroidectomy performed with intraoperative recurrent laryngeal nerve monitoring. Soon after, the patient was diagnosed with BVCP by an ENT otolaryngologist using a laryngeal fiberscope. The patient underwent exploration and received a permanent tracheostoma. The possibility of false negative findings from intraoperative nerve monitoring should considered if there is suspicion of BVCP in a high risk patient after thyroidectomy. The McGrath video-laryngoscope can be useful for early discovery of postoperative vocal cord dysfunction.
Dyspnea
;
Humans
;
Medical Staff
;
Recurrent Laryngeal Nerve
;
Respiratory Sounds
;
Thyroid Gland
;
Thyroidectomy*
;
Vocal Cord Dysfunction
;
Vocal Cord Paralysis*
;
Vocal Cords*