Surgery proved to be effective on a short-term but not on a long-term basis, and histological recovery did not accompany improvement of clinical signs and symptoms.
purpose of this case report is to describe a patient presenting with vocal cord paralysis and Hashimoto's thyroiditis who spontaneously recovered function after surgery. Options for management of a paralyzed vocal cord are reviewed.Methods: A 29-year-old man presented with 3 months of hoarseness. Indirect laryngoscopy showed a paralyzed left vocal cord. Imaging studies demonstrated a left thyroid mass. Left thyroid lobectomy was performed. Postoperative course was uneventful.Results: Pathologic study revealed chronic lymphocytic thyroiditis with no malignancy identified. Spontaneous recovery of vocal cord function was seen at 1 month after surgery with improvement in voice quality and limited return of mobility. Complete resolution of paralysis was seen by 2 months. Follow-up at 3 months demonstrates no deterioration of vocal cord mobility.Conclusion: Vocal cord paralysis may rarely be associated with benign thyroid processes, although it is seen much more commonly in conjunction with malignancy. In such a clinical situation, therefore, malignancy must be excluded. Review of the literature shows vocal cord paralysis in association with Hashimoto's thyroiditis to be quite uncommon. This case demonstrates the prudence of a time of postoperative observation to allow for return of function prior to consideration of medialization techniques.
We report clinical and histological results obtained after partial inferior turbinectomy (PIT), surgery indicated for the treatment of chronic nasal obstruction. Methods: Twenty patients were divided into two groups submitted to PIT plus septoplasty and PIT alone. The patients were reassessed clinically and histologically by means of a biopsy of the regenerated areas in the inferior turbinates at two different times after PIT, i.e., after 8 to 12 months (group A) and after two years (group B). Results: The clinical results proved to be satisfactory for the relief of nasal obstruction in group A and unsatisfactory in group B. However, better histological results with better recovery and epithelial differentiation of the regenerated mucosa of the inferior turbinates after PIT were observed in group B. Conclusion: Surgery proved to be effective on a short-term but not on a long-term basis, and histological recovery did not accompany improvement of clinical signs and symptoms.Keywords: chronic nasal obstruction, inferior turbinate mucosa, ultrastructural changes on the mucosa, partial inferior turbinectomy, epithelial alterations.
ORIGINAL ARTICLE ARTIGO ORIGINALRev Bras Otorrinolaringol 2006;72(5):609-16.
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