Vocal fold paralysis following fine needle aspiration of the thyroid gland complicated by a neck hematoma

Diagnostic imaging Pub Date : 2017-01-01 DOI:10.15761/RDI.1000109

Z. ZidanMahmood, A. Brenner, N. Carmel, Y. Oestreicher‐Kedem

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Abstract

Objective: To describe the mechanism and clinical course of vocal fold paralysis (VFP) following fine needle aspiration (FNA) of the thyroid gland. Case report: An 80-year old female presented to the emergency room due to hoarseness, dyspnea, and neck swelling. Her history was significant for FNA of the thyroid gland eight days earlier. Physical examination revealed left VFP and a left neck mass. Computed tomography of the neck was suggestive of a left neck hematoma. She was treated conservatively and her pain and neck swelling subsided gradually. Good left vocal movement was observed four months later. Conclusion: VFP is a rare complication of FNA of the thyroid gland. Physicians performing this procedure should be aware of this complication. We suggest that this sequela be discussed with the patient prior to the procedure and be included in the informed patient consent form. Correspondence to: Yael Oestreicher-Kedem, Department of Otolaryngology, Head & Neck Surgery and Maxillofacial Surgery, Tel-Aviv Sourasky Medical Center 6 Weizman St. Tel-Aviv, Israel, Tel: +972-52-6212179; Fax: +972-36052905; E-mail: dkyo@013.net

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甲状腺细针穿刺后声带麻痹并发颈部血肿

目的:探讨甲状腺细针穿刺后声带麻痹(VFP)的发病机制和临床过程。病例报告:一名80岁女性因声音嘶哑、呼吸困难和颈部肿胀而被送往急诊室。她的甲状腺FNA病史在8天前有重要意义。体格检查显示左侧VFP和左侧颈部肿块。颈部电脑断层显示左颈部有血肿。经保守治疗，疼痛及颈部肿胀逐渐消退。四个月后观察到良好的左声带运动。结论:VFP是一种罕见的甲状腺FNA并发症。实施这种手术的医生应该意识到这种并发症。我们建议在手术前与患者讨论这种后遗症，并将其包括在知情患者同意书中。通讯:Yael Oestreicher-Kedem，特拉维夫Sourasky医疗中心6 Weizman St. Tel- aviv耳鼻喉科，头颈外科和颌面外科，Tel: +972-52-6212179;传真:+ 972 - 36052905;电子邮件:dkyo@013.net

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Diagnostic imaging

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