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KMID : 0602820110170010053
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Korean Journal of Bronchoesophagology
2011 Volume.17 No. 1 p.53 ~ p.56
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A Case of Functional Recovery of the Postoperative Bilateral Vocal Cord Paralysis in Papillary Thyroid Carcinoma with Rt. Recurrent Laryngeal Nerve Invasion
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Mun Mi-Jin
Wang Soo-Geun
Lee Yoon-Se
Lim Yun-Sung
Lee Jin-Choon
Kang Yang-Ho
Son Suk-Man
Kim In-Ju
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Abstract
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Vocal cord paralysis (VCP) is a common complication after thyroidectomy despite the continuity of the recurrent laryngeal nerve (RLN) is preserved. Much efforts have been made into preventing VCP, but few of them focuses on the treatment strategies and prognosis after VCP take place. In this case, patient visited the clinic for papillary thyroid cancer in Rt. thyroid gland without VCP. She underwent total thyroidectomy with central neck dissection. During dissection, Rt main mass was encircling Rt. RLN. To make matters worse, Lt. RLN was severed due to tight attachment with Berry’s ligament. After that, intratumoural dissection of Rt. RLN and end to end anastomosis of Lt. RLN were performed with microscopy to preserve the functions of RLNs as much as possible, otherwise permanent bilateral VCPs were inevitable. We report this case, since both vocal cords recovered from VCPs with symmetric, synchronous movements at postoperative follow up.
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KEYWORD
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Papillary thyroid carcinoma, Recurrent laryngeal nerve, Vocal cord palsy
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