Bilateral vocal cord injury following anterior cervical discectomy: could a better preoperative exam have prevented it?
LJM-Libyan Journal of Medicine. 2006; 1 (2): 156-161
em Inglês
| IMEMR
| ID: emr-78901
ABSTRACT
We present a rare case of bilateral vocal cord injury [BVCI] following anterior cervical discectomy with fusion [ACD/F] in a 47 year old man. The patient experienced post-extubation stridor and whispering voice in the recovery room. Clinical assessment led to the diagnosis of BVCI. The patient was treated by tracheostomy and made a full recovery. What is unique about this case is that the patient had no reason for a preexisting unilateral vocal cord injury [UVCI] prior to this surgery. There have been only two similar cases in the English literature in which the patients had a preexisting unilateral vocal cord paralysis [UVCI]. We recommend a more detailed preoperative airway exam to include a voice exam with specific voice fatigue questioning on all patients coming for ACD/F. Such detailed assessment may uncover hidden UVCI and allow a safer perioperative period
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Índice:
IMEMR (Mediterrâneo Oriental)
Assunto principal:
Complicações Pós-Operatórias
/
Cuidados Pré-Operatórios
/
Vértebras Cervicais
/
Discotomia
Tipo de estudo:
Relato de Casos
Limite:
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Libyan J. Med.
Ano de publicação:
2006
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