POST TOTAL THYROIDECTOMY RECOVERY OF UNILATERAL VOCAL CORD PALSY IN MNG WITH SECONDARY HYPERTHYROIDISM: REVIEW OF LITERATURE

NAME ADDRESS EMAIL ID OF THE CORRESPONDING AUTHOR:
Dr. Jomine Jose,
Associate Professor,
Department of General Surgery,
MOSC Medical College, Kolenchery-682311.
E-mail: jomine9@gmail.com

INTRODUCTION: The association between a pre-operative recurrent laryngeal nerve (RLN) palsy and thyroid disease is usually suggestive of locally advanced malignant thyroid disease by invasion of the nerve. However, the risk of benign thyroid disease causing paralysis to the nerve is extremely rare and has been seldom reported. The vocal cord palsy in these cases has been observed to be mostly reversible. Therefore, vocal cord paralysis does not relieve the surgeon of his obligation to identify and preserve the recurrent laryngeal nerves, since the cause of the paralysis may be a benign disease, with a fair chance of functional recovery after surgery. We report a case of post-operative complete recovery of unilateral recurrent laryngeal nerve palsy secondary to a multinodular goiter with secondary hyperthyroidism along with the review of literature.