Aguilar-Chirino LM, Torrontegui-Zazueta LA, Echeagaray-Sánchez HL

Language: Spanish
References: 19
Page: 311-321
PDF size: 227.55 Kb.

ABSTRACT

Objective: To analyze the presence and evolution of vocal cord impairment through flexible fiberoptic laryngoscopies and the relationship with the histopathological diagnosis. Methods: This longitudinal study is a retrospective cohort that included patients undergoing thyroidectomy, who were evaluated through serial flexible nasofibrolaryngoscopies and the vocal disability index questionnaire. Evaluations carried out at the following times: pre-surgery, 24 hours, 7 days, 14 days, 1 month and 3 months after surgery. Results: 62 patients undergoing thyroid surgery were evaluated, in the findings in the flexible nasofibrolaryngoscopy, 24 hours after surgery, 57 (91.9%) patients were found without affection in the cord mobility, 5 (8%) patients with alteration in the mobility of the vocal cords, all with unilateral cord involvement, and with total spontaneous resolution of all cases by the third month. The most frequent definitive histopathological diagnosis was multinodular goiter in 28 patients (45.1%). Conclusion: A frequency of 8% of alterations in chordal mobility after thyroidectomy with spontaneous resolution was obtained in all cases, similar to that reported in the international literature.

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