• JNMA J Nepal Med Assoc · Mar 2019

    Case Reports

    Bilateral Adductor Nerve Palsy Following Total Thyroidectomy: A Case Report.

    • Prashant Bhatt and Apar Pokharel.
    • Department of Otorhinolaryngology and Head and Neck Surgery, College of Medical Sciences, Bharatpur, Chitwan, Nepal.
    • JNMA J Nepal Med Assoc. 2019 Mar 1; 57 (216): 116-118.

    AbstractRecurrent Laryngeal Nerve palsy following thyroidectomy is usually attributed to surgery whereas sometimes the cause can be non-surgical and can result in adductor palsy. Bilateral Recurrent Laryngeal Nerve paralysis is a rare complication of thyroidectomy. We present a case of a 35 years old female who developed dysphonia following thyroidectomy. The clinical findings and recovery were suggestive of a non-surgical cause for palsy. The management of these patients differs and the knowledge in this regard is very important for the surgeons. The non-surgical and surgical cause of adductor palsy differs in presentation and management. Tracheostomy is not required, and recovery of the nerve occurs in most cases. Keywords: palsy; recurrent laryngeal nerve; total thyroidectomy.

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