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Recurrent laryngeal nerve palsy secondary to benign thyroid disease

Published online by Cambridge University Press:  29 June 2007

J. E. Fenton
Affiliation:
Departments of Otorhinolaryngology, Head and Neck Surgery, Adelaide Hospital, Dublin
C. I. Timon*
Affiliation:
Departments of Otorhinolaryngology, Head and Neck Surgery, Royal Victoria Eye and Ear Hospital, Dublin
D. P. McShane
Affiliation:
Departments of Otorhinolaryngology, Head and Neck Surgery, Adelaide Hospital, Dublin
*
Professor C. Timon. Departments of Otorhinolaryngology, Head and Neck Surgery, Royal Victoria Eye and Ear Hospital* and the Adelaide Hospital†, Dublin. Adelaide Road, Dublin 2, Ireland

Abstract

Abstract: A recurrent nerve palsy occurring in the presence of a goitre is considered to be caused by thyroid malignancy until proven otherwise.

Three cases are described in which benign thyroid disease resulted in recurrent laryngeal nerve paralysis. Recent haemorrhage was implicated histologically as the possible aetiology in all three cases. The importance of identifying and preserving the recurrent laryngeal nerve in the surgical management is highlighted.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1994

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References

Ceroni, T., Franzoni, M., De Rubertis, O. K. (1963) Le paralisi ricorrenzialli nella patologia della tiroide. Otorinolaringologia Italia 32: 388401.Google Scholar
Gani, J. S., Morrison, J. M. (1987) Simple thyroid cyst: a case of acute bilateral recurrent laryngeal nerve palsy. British Medical Journal 294(2): 11281129.CrossRefGoogle ScholarPubMed
Hippelainen, M. J., Tulla, H. E., Seppa, A. V, Alhava, E. M. (1990) Vocal cord paralysis caused by a cyst in extraglandular thyroid tissue. Case Report. Acta Chirurgica Scandivica 156(10): 737739.Google ScholarPubMed
Holl-Allen, R. T. J. (1967) Laryngeal nerve paralysis and benign thyroid disease Archives of Otolaryngology 84: 335337.CrossRefGoogle Scholar
Maclellan, D. G., Stephens, D. A. (1980) Recurrent laryngeal nerve paralysis: compression by a thyroid cyst. Medical Journal of Australia 2: 450.Google ScholarPubMed
Maran, A. G. D., Gaze, M., Wilson, J. A. (1993). Head and Neck Surgery, 3rd Edition (Stell, P., Maran, A. G. eds.) Butterworth-Heinemann Ltd, Oxford, p. 140.Google Scholar
Slomka, W. S., Abedi, E., Sismanis, A., Barlascini, C. O. (1989) Paralysis of the recurrent laryngeal nerve by an extracapsular thyroid adenoma. Ear, Nose and Throat Journal 68: 855863.Google ScholarPubMed
Worgan, D., Saunders, S., Jones, J. (1987) Recurrent laryngeal paralysis and non-malignant thyroid. Journal of Laryngology and Otology 88: 375378.CrossRefGoogle Scholar