Recurrent laryngeal nerve paralysis secondary to benign thyroid disease

Recurrent laryngeal nerve paralysis in the presence of a thyromegaly is considered to be caused by a thyroid malignancy unless proven otherwise. There are very few case reports of non-malignant thyroid lesions causing vocal cord paralysis. The authors present their experience with a patient with benign thyroid disease presenting as vocal cord paralysis. The relevant literature is reviewed