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Abstract

Experiments in Rhinology & Otolaryngology

Post-Thyroidectomy Laryngeal Diplegia in Mali: What Therapeutic Challenge?

  • Open or Close Kone Fatogoma Issa*

    Department of ENT Head and Neck Surgery, Teaching Hospital Gabriel Toure, Mali

    *Corresponding author: Kone Fatogoma Issa, Department of ENT Head and Neck Surgery, Teaching Hospital Gabriel Toure, Bamako, Mali

Submission: November 14, 2017;Published: December 12, 2017

DOI: 10.31031/ERO.2017.01.000508

ISSN: 2637-7780
Volume1 Issue2

Abstract

Post-thyroidectomy laryngeal diplegia is the most common and most feared complication [1]. It occurs following a recurrent nerve lesion in 26 to 59% of cases [1,2]. Tracheotomy was considered until 1922 as the only reference treatment [3,4]. Therapeutic approaches have evolved over time, ranging from convention altranslaryngeal or extralaryngeal therapy to endoscopic laser approaches [5]. These endoscopic methods emphasized endoscopicary tenoidectomy and posterior transverse cordotomy [4,6]. Laser transverse posterior cordotomy has proved its efficacy, illustrated by the work of Denis and Kashima and Laccoureye & Merite Drancy [4,7].

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