Abstract
Recurrent laryngeal nerve injury can occur from thyroidectomy leading to a temporary (acute) or permanent (chronic) vocal fold paralysis or paresis. The treatment options vary depending on whether one or both vocal folds are paralysed. Laryngeal electromyographic indications and findings are discussed. Surgical treatment options for unilateral vocal fold paralysis are reviewed, including vocal fold injection augmentation, laryngeal framework surgery and laryngeal reinnervation. Treatment options for bilateral vocal fold paralysis are discussed, including tracheostomy, endoscopic suture lateralization, posterior transverse cordotomy and arytenoidectomy.
Original language | English (US) |
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Title of host publication | Thyroid Surgery |
Subtitle of host publication | Preventing and Managing Complications |
Publisher | John Wiley and Sons |
Pages | 219-225 |
Number of pages | 7 |
ISBN (Print) | 9780470659502 |
DOIs | |
State | Published - Dec 18 2012 |
Keywords
- Laryngeal electromyography
- Laryngeal reinnervation
- Recurrent laryngeal nerve
- Thyroplasty
- Vocal fold paralysis
ASJC Scopus subject areas
- General Medicine