Assessment Of The Effectiveness Of Suture Lateralization In Patients With Bilateral Vocal Fold Paralysis After Thyroidectomy

Abstract

Background. Preserving a patient's life is always a priority for medicine around the world. Unfortunately, surgery is fraught with possible postoperative complications. In particular, thyrectomies are often associated with the possibility of vocal cleft paralysis. It causes a number of symptoms that not only impair patients' quality of life, but can also be fatal.
Materials and Methods. We have conducted a retrospective and prospective analysis according to the medical records of 43 patients who underwent thyroidectomy followed by diagnosed bilateral vocal cord paralysis. The study was conducted at the National Otorhinorological Hospital of Vietnam between January 2018 to August 2019. Results. Lateral fixation of one of the vocal cords reduces the number of patients suffering from shortness of breath (difficulty in breathing) from 100% preoperatively to 88.4% postoperatively. Laterofixation also has a positive effect on the recovery of speech function capability. Speech function was recovered from normal to moderate levels in 77.8% of patients after laterofixation. Conclusions. Laterofixation is a temporary manipulation that significantly improves the quality of patients' life with bilateral vocal cord paralysis who have undergone thyroidectomy. The undisputed advantage of the present method is the low complication rate and the positive post-operative prognosis for the patient, which significantly depends on the age of the patient.
Ключевые слова: двусторонний паралич голосовых складок, тиреоидэктомия, латерализация швов.