Respiratory difficulty after parathyroidectomy due to laryngospasm

ENT; Head And Neck Surgery; General Surgery
Case Report
10.1102/1470-5206.2014.0006
14
21-23
Respiratory difficulty after parathyroidectomy due to laryngospasm

A 38-year-old woman was diagnosed as having hyperparathyroidism. Surgery to remove 3.5 parathyroid glands was scheduled along with intraoperative neuromonitoring of the recurrent laryngeal/superior laryngeal nerves. Even though the neuromonitoring during the surgery indicated intact recurrent laryngeal nerves, on removal of the endotracheal tube, the anesthesiologist found the patient could not be ventilated without unusual effort using the reservoir bag and tight pressure on the oxygen mask. Surgeons performing throat surgery should be aware that laryngospasm is another possible occurrence for midline paralysis of the vocalis after surgery involving the recurrent laryngeal nerves, and that iatrogenic damage to the recurrent/superior laryngeal nerves is not the only cause of respiratory difficulty after neck surgery.

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Editor-in-Chief

Frank Cross
Consultant Vascular and General Surgeon
The London Clinic, UK

Editors

Neil Barnes
Consultant Physician
Barts Health NHS Trust, London, UK
Ali Jawad
Professor of Rheumatology
Barts Health NHS Trust, London, UK

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