Continuous cervical epidural analgesia for Isshiki type - I thyroplasty

Abstract

Thyroplasty is an operation on the upper airway to improve voice quality in patients with unilateral vocal cord paralysis. It is a difficult anaesthetic procedure that requires sharing the airway with the surgeon. We describe a good anaesthetic technique, which provides a safe airway with excellent operating conditions, using continuous cervical epidural anaesthesia and postoperative analgesia in three patients. The use of a regional anaesthetic technique provides excellent anaesthesia and analgesia while allowing the patient to phonate at the request of the surgeon intraoperatively.

Caveat Lector

“…3 Of the 3 cases presented, only 1 patient is possibly from her own practice. The 2 other patients are taken verbatim from previously published case reports.…”

Caveat lector

“…[3] Of the three cases presented, only one patient was possibly from her own practice. The two other patients were taken verbatim from previously published case reports.…”

“…In 2010, Dr. Trivedi published a case report in the Indian Journal of Anesthesia describing three patients undergoing continuous cervical epidural for thyroplasty. [ 3 ] Of the three cases presented, only one patient was possibly from her own practice. The two other patients were taken verbatim from previously published case reports.…”