Vocal Fold Paralysis: Causes, Outcomes, and Clinical Aspects

Adopting the operating microscope in thyroid surgery: Safety, efficiency, and ergonomics

“…Our complication rates are similar to those reported in other studies. In a recent review of recurrent laryngeal nerve injury, Sulica et al 8 reported a 1% to 8.6% rate of vocal fold paralysis across 18 studies. Our rate of recurrent laryngeal nerve paresis falls within this range.…”

Does Knowledge of Medical Diagnosis Bias Auditory-Perceptual Judgments of Dysphonia?

“…ELs might not show a similar effect as NLs because they know that speakers with paralysis or paresis also may develop hyperfunctional compensatory behaviors that both increase the efficiency of adduction, as well as the perception of rough, rather than purely breathy voices. 24 This knowledge might only come with experience and exposure to dysphonic speakers and would effectively weaken the biasing effect in ELs for speakers with these diagnoses. The ability to test these hypotheses is a clear topic for future investigation.…”

Enlargement of “SHENOY Node”: A Risk Factor for Temporary Recurrent Laryngeal Nerve Paralysis after Thyroid Surgery

“…The proportion of temporary paralysis was much higher than permanent paralysis 1% to 5.1% versus 0 to 2.9%, respectively [4]. There are several technical issues that increase the risk of nerve injury.…”

“…Recently, intraoperative nerve monitoring (IONM) to identify the nerves during thyroid surgery was shown to help lower the incidence of nerve injury, resulting better post-operative vocal cord outcomes [3]. The literature shows evidence of the rate of RLN paralysis with an overall range of 1% to 8.6%, with 1% to 5.1% as temporary paralysis, and 0 to 2.9% reported as permanent nerve paralysis [4][5][6][7][8].…”