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Author ORCID Identifier

Dr Vyshnavi S: https://orcid.org/ 0000-0002-0649-4326

Dr Ashwini N: https://orcid.org/ 0000-0002-6417-1525

Dr Chillara Meena: https://orcid.org/ 0009-0005-0139-4229

Corresponding Author

Dr Vyshnavi S

vyshnavis@jssuni.edu.in

Abstract

Laryngospasm is the sustained closure of the vocal cords resulting in partial or complete loss of airway patency. Among the several causes of laryngospasm, history of total thyroidectomy performed several years back, though reported, is a rare occurrence. We present here the case report of a lady with an uneventful intra operative course of a laparoscopic cholecystectomy who developed stridor and laryngospasm in the immediate post operative period. Evaluation revealed unilateral vocal cord palsy and hypocalcemia. Compensated unilateral recurrent laryngeal nerve palsy and asymptomatic hypocalcemia can exist in patients who have undergone total thyroidectomy and can result in stridor several years later. A pre-operative calcium estimation and documentation of the vocal cord position by indirect laryngoscopy will help the anesthesiologist to be better prepared to deal with the complications.

Publication Date

2024

Publisher

JSS Academy of Higher Education & Research

Conflict of Interest

No conflicts of interest

Keywords

Laryngospasm; Laryngeal Nerve Palsy, Recurrent; Thyroidectomy; Hypocalcemia

Word Count

939

Creative Commons License

Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.

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