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February 1981

Superior Laryngeal Nerve Paralysis and Benign Thyroid Disease

Author Affiliations

From the Department of Otolaryngology and Maxillofacial Surgery, Northwestern Memorial Hospital, Chicago.

Arch Otolaryngol. 1981;107(2):117-119. doi:10.1001/archotol.1981.00790380047011

• A case of an isolated superior laryngeal nerve paralysis from a thyroid adenoma is presented. Superior laryngeal nerve paralyses should be sought, particularly in the preoperative and postoperative examination of thyroidectomy patients. Symptoms of a change in vocal strength or pitch and aspiration along with the laryngoscopic findings of a glottis posteriorly rotated toward a bowed vocal cord are diagnostic. Surgical trauma to the superior laryngeal nerve, though a risk of any thyroidectomy, usually can be avoided if one knows its possible anatomic variations and meticulously dissects the superior thyroid pole and its vessels.

(Arch Otolaryngol 107:117-119, 1981)

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