Successful emergency Lichtenberger lateralisation for immediate bilateral laryngeal immobility after total thyroidectomy: a CARE case report

Znanstveni rad - Prikaz slučaja

• Autor: Siniša Stevanović
• Autor: M Knežević
• Autor: M Obraz
• Autor: Andro Košec
• Autorova ustanova: Sveučilište u Zagrebu; Medicinski fakultet; (KATEDRA ZA OTORINOLARINGOLOGIJU I KIRURGIJU GLAVE I VRATA)
• Znanstveno / umjetničko područje, polje i grana: BIOMEDICINA I ZDRAVSTVO; Kliničke medicinske znanosti; Otorinolaringologija

Sažetak (engleski)

Objective: This case report discusses a successful emergency Lichtenberger lateralisation procedure after immediate bilateral laryngeal immobility, occurring after total thyroidectomy.

Methods: A 63-year-old female with right-sided vocal fold paralysis due to compression by a multinodular thyroid goitre underwent total thyroidectomy, which resulted in immediate post-operative bilateral vocal fold immobility. The patient had acute-onset post-operative dyspnoea, was promptly re-intubated, and an emergency lateralisation Lichtenberger suture was placed over the right vocal fold and fixated on the outer surface of the neck.

Results: After two weeks, her right vocal fold recovered first, with the suture still in place. At four weeks, both vocal folds regained function and the suture was extracted.

Conclusion: The take-away message is that an emergency lateralisation suture may be a viable option in maintaining airway patency, while allowing for normal deglutition, in patients who would otherwise be candidates for prolonged intubation, posterior cordotomy, medial arytenoidectomy or tracheostomy.

• Ključne riječi (engleski): Dyspnea / etiology; Dyspnea / surgery; Female; Humans; Middle Aged; Thyroidectomy / adverse effects; Tracheostomy / adverse effects; Vocal Cord Paralysis / etiology; Vocal Cord Paralysis / surgery; Vocal Cords
• Jezik: engleski
• Vrsta publikacije: Znanstveni rad - Prikaz slučaja
• Status objave: Objavljen
• Vrsta recenzije: Recenziran
• Verzija publikacije: Završna verzija rukopisa prihvaćena za objavljivanje (postprint)
• Naslov časopisa: The Journal of Laryngology & Otology
• Brojčani podaci: vol. 137, br. 12, str. 1413-1415
• p-ISSN: 0022-2151
• e-ISSN: 1748-5460
• DOI: https://doi.org/10.1017/S0022215123000646
• URN:NBN: urn:nbn:hr:105:543520
• Datum objave publikacije: 2023-04-11
• URL dokumenta: https://www.cambridge.org/core/product/identifier/S0022215123000646/type/journal_article
• Vrsta resursa: Tekst
• Prava pristupa: Pristup ograničen embargom; Datum isteka embarga: 2024-07-01
• Datum i vrijeme pohrane: 2024-01-08 09:18:58