Skip to main content

Stridor Following Thyroidectomy

  • Chapter
  • First Online:
Case Studies in Thyroid and Parathyroid Tumors

Abstract

A 67-year-old woman presented with recurrent nodular goiter with hyperthyroidism with a history of having had a subtotal thyroidectomy in 1997 and redo-completion surgery in 2002. Preoperative nasoendoscopy revealed normally functioning cords and her thyroid function tests showed subclinical hyperthyroidism at the time of surgery. Computed tomography (CT) of the neck showed a large compressive goiter with an aberrant right subclavian artery (Fig. 1a, b). This raised the possibility of a nonrecurrent laryngeal nerve (NRLN).

Rajeev Parameswaran is the lead author of this chapter.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Jin S, Sugitani I. Narrative review of management of thyroid surgery complications. Gland Surg. 2021;10(3):1135–46.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Lee HS, Lee BJ, Kim SW, Cha YW, Choi YS, Park YH, et al. Patterns of post-thyroidectomy hemorrhage. Clin Exp Otorhinolaryngol. 2009;2(2):72–7.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Iliff H, El-Boghdadly K, Ahmad I, Davis J, Harris A, Khan S, et al. Management of haematoma after thyroid surgery: systematic review and multidisciplinary consensus guidelines from the Difficult Airway Society, the British Association of Endocrine and Thyroid Surgeons and the British Association of Otorhinolaryngology, Head and Neck Surgery. Anaesthesia. 2022;77(1):82–95.

    Article  CAS  PubMed  Google Scholar 

  4. Rosato L, Avenia N, Bernante P, De Palma M, Gulino G, Nasi PG, et al. Complications of thyroid surgery: analysis of a multicentric study on 14,934 patients operated on in Italy over 5 years. World J Surg. 2004;28(3):271–6.

    Article  PubMed  Google Scholar 

  5. Lukinović J, Bilić M. Overview of thyroid surgery complications. Acta Clin Croat. 2020;59(Suppl 1):81–6.

    PubMed  PubMed Central  Google Scholar 

  6. Sanapala A, Nagaraju M, Rao LN, Nalluri K. Management of bilateral recurrent laryngeal nerve paresis after thyroidectomy. Anesth Essays Res. 2015;9(2):251–3.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Finck C. Laryngeal dysfunction after thyroid surgery: diagnosis, evaluation and treatment. Acta Chir Belg. 2006;106(4):378–87.

    Article  CAS  PubMed  Google Scholar 

  8. Sanjeeva KK, Chandra B, Balakrishna MA, Ramesh DB. Clinico-epidemiological study and treatment outcome of multinodular goitre at a tertiary care hospital. J Clin Diagn Res. 2015;9(6):PC22-5.

    PubMed  Google Scholar 

  9. White ML, Doherty GM, Gauger PG. Evidence-based surgical management of substernal goiter. World J Surg. 2008;32(7):1285–300.

    Article  PubMed  Google Scholar 

  10. Agarwal A, Mishra AK, Gupta SK, Arshad F, Tripathi M, Singh PK. High incidence of tracheomalacia in longstanding goiters: experience from an endemic goiter region. World J Surg. 2007;31(4):832–7.

    Article  PubMed  Google Scholar 

  11. Findlay JM, Sadler GP, Bridge H, Mihai R. Post-thyroidectomy tracheomalacia: minimal risk despite significant tracheal compression. Br J Anaesth. 2011;106(6):903–6.

    Article  CAS  PubMed  Google Scholar 

  12. Kandaswamy C, Balasubramanian V. Review of adult tracheomalacia and its relationship with chronic obstructive pulmonary disease. Curr Opin Pulm Med. 2009;15(2):113–9.

    Article  PubMed  Google Scholar 

  13. Harbison J, Dodd J, McNicholas WT. Paradoxical vocal cord motion causing stridor after thyroidectomy. Thorax. 2000;55(6):533–4.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 2023 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Agarwal, A., Fernando, R., Parameswaran, R., Mishra, A., Pradhan, R. (2023). Stridor Following Thyroidectomy. In: Case Studies in Thyroid and Parathyroid Tumors. Springer, Singapore. https://doi.org/10.1007/978-981-99-0938-4_64

Download citation

  • DOI: https://doi.org/10.1007/978-981-99-0938-4_64

  • Published:

  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-99-0937-7

  • Online ISBN: 978-981-99-0938-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics