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- Yiuka Leung, Karim Fikry, Bhavika Shah, Manokanth Madapu, Randall D Gaz, Lisa R Leffert, and Yandong Jiang.
- From the *Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, Massachusetts; and †Department of Surgery, Massachusetts General Hospital, Boston, Massachusetts.
- A A Case Rep. 2015 Jun 1;4(11):155-7.
AbstractAcute bilateral recurrent laryngeal nerve injury leading to acute vocal cord paralysis (VCP) is a serious complication of head and neck surgery, often requiring emergent surgical intervention. Although well documented, its presentation may be sudden and unexpected, occurring despite lack of obvious intraoperative nerve injury. There is limited literature on airway management strategies for patients with acute bilateral VCP before attaining a secure airway. We report a case of acute VCP that was successfully treated with continuous positive airway pressure via facemask ventilation. This effective temporizing strategy allowed clinicians to plan and prepare for tracheostomy, minimizing potential complications.
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