Voice rehabilitation of patients with unilateral laryngeal paresis after thyroid cancer surgery

Чойнзонов, Е. Л.; Балацкая, Л. Н.; Чижевская, Светлана Юрьевна; Черемисина, О. В.; Красавина, Е. А.; Жуйкова, Лилия Дмитриевна

doi:10.14341/probl9648

Probl Endokrinol (Mosk)

2019

DOI: 10.14341/probl9648

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Voice rehabilitation of patients with unilateral laryngeal paresis after thyroid cancer surgery

Е. Л. Чойнзонов¹,

Л. Н. Балацкая²,

Светлана Юрьевна Чижевская³

et al.

Abstract: BACKGROUND: Recurrent laryngeal nerve injury is one of the most frequent complications of surgery for thyroid cancer. This injury may result in vocal cord paresis and respiratory failure. Repeat surgery for recurrent tumors involves increased risk of recurrent nerves paresis. AIM: to evaluate the efficacy of voice rehabilitation in patients with unilateral laryngeal paresis after surgery for thyroid cancer. MATERIAL AND METHODS: Between 2008 and 2017, a total of 54 patients with unilateral laryngea… Show more

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Paresis of the larynx after operations on the thyroid gland in an oncological clinic and methodological aspects of its relief

Novozhilova,

Popadyuk,

Bukanova

et al. 2023

Medicinskij sovet

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Introduction. Paresis and paralysis of the larynx are a fairly common complication after thyroid surgery and are found in all clinics (oncology and endocrinology). The frequency of this complication according to the literature ranges from 4 to 35%. The risk of damage to the recurrent nerve increases especially during repeated operations on the thyroid gland. According to the literature, postoperative transient and persistent paresis of the larynx is distinguished.Aim. To evaluate objective data on the larynx state in the postoperative period, estimate the time required for reversal of laryngeal paresis, and develop a laryngeal function recovery complex for the postoperative period.Materials and methods. We analyzed data on 628 patients treated at the clinic in the department of head and neck tumors in 2020–2021. The study included 47 patients (7.2%) who met the selected criteria. Among them were 40 women and 7 men. The average age is 51 years (43–60 years). The duration of the disease averaged 62 months (24–102). In 38 patients, papillary cancer was detected, in 1 – medullary, in 8 – follicular tumors of a benign nature.Results of the study. Early detection of laryngeal paresis occurred in 42 patients. In 52% (24 patients), postoperative hypocalcemia was detected, which was stopped on the background of drug administration. In 3 patients, fold mobility remained on days 1–2 after surgery, and paresis appeared on days 4–5. Speech therapy work includes a phased set of activities: 1) rational psychotherapy; 2) work on the normalization of physiological and phonation respiration; 3) phonopedic exercises; 4) in the presence of dysphagia, work is carried out to restore the function of swallowing.Conclusions. The development of postoperative paresis of the larynx is possible even if the integrity of the recurrent nerves is preserved; the use of the technique of microsurgical neurolysis can significantly reduce the frequency of paresis of the larynx; with transient paresis, most often mobility is restored after 1-3 months; the use of an integrated approach to the rehabilitation of this category of patients allows to achieve improved functional results; with bilateral persistent paralysis of the larynx, as an alternative to tracheostomy, the chordotomy technique using a CO2 laser can be used.

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Paresis of the larynx after operations on the thyroid gland in an oncological clinic and methodological aspects of its relief

Novozhilova,

Popadyuk,

Bukanova

et al. 2023

Medicinskij sovet

View full text Add to dashboard Cite

show abstract

Modern Possibilities for Reconstruction of Nerves of the Head and Neck

Rumyantseva,

Yarikov,

Baitinger

et al. 2024

Bulletin of Science and Practice

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The main etiological factors of nerve damage to the head and neck include injuries, oncological diseases, iatrogenic injuries during surgical interventions. An important task of treatment is to restore the lost function of the nervous head and neck, the functions of which certainly determine the quality of life of the patient. The article presents modern methods of nerve reconstruction of the head and neck. The methods of reconstructive surgery of the facial, trigeminal, inferior alveolar, lingual, recurrent laryngeal nerves are described. This article also describes the types of rehabilitation after reconstructive operations on the nerves of the head and neck using pharmacological and non-pharmacological treatment methods such as botulinum therapy, neuromuscular retraining, taping, post-isometric relaxation, acupuncture, phonophoresis, gymnastics.

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Voice rehabilitation of patients with unilateral laryngeal paresis after thyroid cancer surgery

Cited by 2 publications

References 2 publications

Paresis of the larynx after operations on the thyroid gland in an oncological clinic and methodological aspects of its relief

Paresis of the larynx after operations on the thyroid gland in an oncological clinic and methodological aspects of its relief

Modern Possibilities for Reconstruction of Nerves of the Head and Neck

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