Presentation
New hoarse voice. Recent history of total thyroidectomy.
From the case:
Vocal cord paralysis
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The following features of right vocal cord paralysis are demonstrated:
- dilatation of the right vallecula
- fullness and medial displacement of the right aryepiglottic fold
- thickening and medial displacement of the right vocal cord
- dilatation of the right pyriform sinus
- enlargement of the right laryngeal ventricle
There are surgical clips indicating prior thyroidectomy, and perioperative injury to the right recurrent laryngeal nerve is the likely etiology in this patient.
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