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KMID : 0986520160160030085
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Korean Journal of Endoscrine Surgery
2016 Volume.16 No. 3 p.85 ~ p.88
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Bilateral Vocal Cord Palsy after Thyroidectomy Detected by McGrath Videolaryngoscope
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Shin Kwang-Seob
Lee Guie-Yong
Baik Hee-Jung
Kim Chi-Hyo
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Abstract
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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.
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KEYWORD
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Bilateral vocal cord palsy, Intraoperative nerve monitoring, Thyroidectomy, Videolaryngoscope
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