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Medicentro Electrónica

versión On-line ISSN 1029-3043

Resumen

GONZALEZ BRITO, Damaisy; PAEZ GIL, Yosvany; AVELLO OLIVERT, María Eneida  y  FRAGA RAMIREZ, Osvaldo. Recurrent laryngeal nerve rehabilitation after thyroidectomy. Medicentro Electrónica [online]. 2023, vol.27, n.1  Epub 01-Ene-2023. ISSN 1029-3043.

Papillary thyroid carcinoma is the most common type of cancer of this gland, and its treatment of choice is thyroidectomy. Vocal cord paralysis stands out among the associated complications, in which a direct injury to the recurrent laryngeal nerve occurs during surgery. We present a 22-year-old female patient with this diagnosis, who underwent a total thyroidectomy; in the immediate postoperative period the patient began with intense laryngeal stridor requiring an emergency tracheotomy. Physical examination revealed bilateral vocal cord paralysis and it was decided to begin rehabilitation treatment of the recurrent laryngeal nerve with laser therapy and HIVAMAT-200 as combined modalities. The results achieved with physiotherapy were satisfactory and the patient was quickly reintegrated into her family, school and social environment.

Palabras clave : recurrent laryngeal nerve injuries; thyroid cancer, papillary vocal cord paralysis; thyroidectomy; tracheotomy.

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