A retrospective review was conducted of five patients presenting to the Otorhinolaryngology Head and Neck Surgery Department at Guy's and St Thomas' NHS Foundation Trust Hospital between 2000 and 2009. [ncbi.nlm.nih.gov]

• Hoarseness

  Resolution of hoarseness was approximately 70% in those with preoperative hoarseness. [ncbi.nlm.nih.gov]

• Cough

  Effective closure of the glottis was then possible, permitting an adequate cough, adequate clearing of the bronchial tree and minimising the risk of aspiration. [ncbi.nlm.nih.gov]

  On clinical evaluation, patients may suffer from dyspnea, voice impairment, globus sensation or cough [3]. In the acute period of the injury airway evaluation is the priority for the patient. [austinpublishinggroup.com]

  The glottic closure that allows a forceful cough is also compromised and thus a weak, unsuccessful cough is often reported by patients. [emedicine.medscape.com]

  Individuals with vocal cord paralysis may find the effectiveness of coughing, swallowing or sneezing in removing laryngeal area waste is undermined reduced vocal cord mobility. [medicalnewstoday.com]

  Inability to cough: due to inability of V.C. to meet which results in retention of secretions in the chest. -Bronchopneumonia- due to repeated aspirations & retention of secretions. 27. Treatment: 1. Tracheostomy 2. Epiglottopexy 3. [slideshare.net]

• Stridor

  Mediastinal and hilar lymph node enlargement in such patients may distract clinicians from considering alternative causes of recurrent laryngeal nerve palsy, with potential ensuing severe or even life-threatening stridor. [ncbi.nlm.nih.gov]

  Hypocalcaemic stridor and infantile nutritional rickets. BMJ 1995;310(6971):48-9. Srivastava A, Ravindran V. Stridor secondary to hypocalcaemia in the elderly: an unusual presentation. Eur J Intern Med 2008;19(3):219-20. Epub 2007 Sep 19. [signavitae.com]

  Symptoms include respiratory distress with stridor. The situation often necessitates emergent reintubation or tracheostomy. Keyword history 75%/2014 64%/2011 Sources Atlee: Complications in Anesthesia, 2nd ed. 2006. Chapter 204. [openanesthesia.org]

  • Clinical features : - Dyspnoea - Stridor 21. [slideshare.net]

  ) tobacco use ( Z72.0 ) Diseases of the respiratory system J38 ICD-10-CM Diagnosis Code J38 Diseases of vocal cords and larynx, not elsewhere classified 2016 2017 2018 2019 Non-Billable/Non-Specific Code Type 1 Excludes congenital laryngeal stridor [icd10data.com]

• Laryngeal Disease

  Diseases Respiratory Tract Diseases Otorhinolaryngologic Diseases Vagus Nerve Diseases Cranial Nerve Diseases Nervous System Diseases Paralysis Neurologic Manifestations Signs and Symptoms Dexamethasone Dexamethasone acetate BB 1101 Anti-Inflammatory [clinicaltrials.gov]

• Gagging

  These include uvular deviation, loss of gag reflex, and atrophy of the soft palate and superior constrictor muscle. [ajnr.org]

  […] solids or liquids, the patient might choke (including saliva sometimes) While speaking, the sufferer may have to catch their breath more often than usual Voice volume may be affected - the patient may not be able to raise their voice Pharyngeal reflex (gag [medicalnewstoday.com]

• Distractibility

  Mediastinal and hilar lymph node enlargement in such patients may distract clinicians from considering alternative causes of recurrent laryngeal nerve palsy, with potential ensuing severe or even life-threatening stridor. [ncbi.nlm.nih.gov]

• Neurologic Manifestation

  Neurological manifestations in patients with these lesions may be quite varied. [ncbi.nlm.nih.gov]

  Manifestations Signs and Symptoms Dexamethasone Dexamethasone acetate BB 1101 Anti-Inflammatory Agents Antiemetics Autonomic Agents Peripheral Nervous System Agents Physiological Effects of Drugs Gastrointestinal Agents Glucocorticoids Hormones Hormones [clinicaltrials.gov]

• Incontinence

  A 75-year-old woman presented with myeloradiculopathy and chronic urinary incontinence. Imaging showed severe foraminal and central stenosis with T2 cord signal change. [ncbi.nlm.nih.gov]

• Urinary Incontinence

  A 75-year-old woman presented with myeloradiculopathy and chronic urinary incontinence. Imaging showed severe foraminal and central stenosis with T2 cord signal change. [ncbi.nlm.nih.gov]

Treatment was initiated with methimazole, with near complete remission of her vocal cord paralysis within 3 months. [ncbi.nlm.nih.gov]

Ten patients (52.6{\%}) required treatment for RLNP-6 required medical therapy (steroids), 1 interventional treatment (injection laryngoplasty), and 3 conservative therapy (speech therapy). [scholars.northwestern.edu]

[…] this present study is to define the significance of recurrent laryngeal nerve palsy (RLNP) detected before surgery for thyroid diseases with regard to the incidence of malignancy, histopathologic distribution, extrathyroidal invasion, management, and prognosis [ncbi.nlm.nih.gov]

Conclusions: Importantly, hoarseness second ary to laryngeal nerve compression in cardiovascular disease may correlate with a poorer prognosis, i.e ., in thoracic aortic aneurysms and mitral valvestenosis. [scirp.org]

Electromyelography (EMG) can be used to determine the prognosis of RLN recovery, even if a temporary injection has occurred. [emedicine.medscape.com]

It has been shown that the cricothyroid muscle does not influence the functional prognosis or the position of the vocal fold in recurrent nerve paralysis ( 6 ). [academic.oup.com]

Laryngeal electromyography and prognosis of unilateral vocal fold paralysis—a long-term prospective study. Laryngoscope 2015;125:898–903. [12]. Varaldo E, Ansaldo GL, Mascherini M, et al. [journals.lww.com]

After resolution of acute laryngeal findings, etiology is distinguished from two major causes of this condition. [austinpublishinggroup.com]

Etiology Vocal cord paralysis may result from lesions at the nucleus ambiguus, its supranuclear tracts, the main trunk of the vagus, or the recurrent laryngeal nerves. [merckmanuals.com]

Etiology See the list below: Surgical iatrogenic injuries resulting in vocal fold paralysis include thyroid surgery, anterior cervical disc surgery, carotid surgery, or chest surgery. [emedicine.medscape.com]

Etiology superior thoracic masses, e.g. lung cancer (most common 7 ), aortic pathologies (e.g. thoracic aortic aneurysm ), thyroid cancer, laryngeal cancer 6,7 masses affecting the vagus nerve, e.g. jugular foramen masses, carotid body tumors surgical [radiopaedia.org]

Etiology and consequences. Chirurg 1998;69(9):951-6. Dionigi G, Boni L, Rovera F, Rausei S, Castelnuovo P, Dionigi R. Postoperative laryngoscopy in thyroid surgery: proper timing to detect recurrent laryngeal nerve injury. [signavitae.com]

BRLNP is rare, occurring in approx. 0.2% of thyroidectomies for benign thyroid affections. (2) Epidemiological data on late BRLNP after thyroidectomy is spares. [signavitae.com]

Epidemiology A retrospective analysis of data from a large American claims database found that of almost 55 million individuals, 536,943 patients (ages 0 to 65 years) were given a dysphonia diagnosis (point prevalence rate of 0.98%). [ 3 ] One study screening [patient.info]

Previous literature indicates the underlying pathophysiology for delayed onset of RLNP may be small vessel ischemia, vasospasm, or viral resurgence that leads to recurrent laryngeal nerve dysfunction. [ncbi.nlm.nih.gov]

Pathophysiology The recurrent laryngeal nerve is responsible for both abduction and adduction of the vocal fold. [emedicine.medscape.com]

Pathophysiology There are several different mechanisms of nerve injury and means of nerve regrowth ( 7 ). [academic.oup.com]

One possible pathophysiological explanation regarding this clinical presentation could be the compression of the nerve, specifically the anterior branch of RLN, 45 between an inflated endotracheal tube cuff and the overlying thyroid cartilage, especially [hormones.gr]

We aim to evaluate the role of intraoperative corticosteroids in preventing or treating postoperative RLNP. [ncbi.nlm.nih.gov]

References Apfelbaum RI, Kriskovich MD, Haller JR: On the incidence, cause, and prevention of recurrent laryngeal nerve palsies during anterior cervical spine surgery. [anesthesiology.pubs.asahq.org]

Abstract The aim of this study is to evaluate the effect of corticosteroids in preventing or treating postoperative recurrent laryngeal nerve palsy (RLNP) after total thyroidectomy. [aamj.eg.net]

CONCLUSION: This case highlights hypoglossal and recurrent laryngeal nerve palsy occurring without direct transection during surgery, a potentially preventable complication with careful attention to reducing compression of the lateral tongue base and [neurology.org]

Neoplasm of Thyroid Gland Malignant Neoplasm of Thyroid Layout table for study information Study Type : Observational Actual Enrollment : 328 participants Observational Model: Case Control Time Perspective: Prospective Official Title: Dexamethasone for the Prevention [clinicaltrials.gov]