Parálisis laríngea posoperatoria en cirugía de tiroides y paratiroides

Pablo TORRICO-ROMÁN, Ramón GONZÁLEZ- HERRANZ

Resumen


Introducción y objetivo: La parálisis de los nervios laríngeos (superior e inferior) es una complicación típicamente asociada a la cirugía tiroidea pero no exclusiva de ella. En el presente artículo se realiza un repaso en su epidemiología, clínica, diagnóstico y una actualización de los diferentes tratamientos aplicados hasta la fecha. Síntesis: La parálisis de las cuerdas vocales, a pesar de ser una complicación posible en la cirugía tiroidea, es a menudo deficientemente tratada. Su diagnostico, su tratamiento adecuado a las expectativas y la realidad del paciente y el tiempo en el que se aplica son fundamentales para obtener un éxito que permita hacer una vida normal a quienes la sufren. Conclusiones: Al contrario de lo que se ha venido haciendo hasta ahora, la precocidad del tratamiento esta demostrado como determinante en el futuro de una parálisis de las cuerdas vocales. La rápida actuación, mas allá de dejar pasar el tiempo como antaño, empleando las diferentes técnicas en el momento preciso, mejora los resultados obtenidos.

Palabras clave


parálisis laringea; parálisis de cuerda vocal; parálsis del nervio recurrente laríngeo; disnea; tiroidectomía; tratamiento de la parálisis/paresia de la cuerda vocal

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DOI: http://dx.doi.org/10.14201/orl.21304

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