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Doctor insights on: Thyroidectomy Vocal Cord Test

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Can a thyroidectomy cause vocal cord damage?

Can a thyroidectomy cause vocal cord damage?

Yes: Hi. The recurrent laryngeal nerves (RLN) run right by the thyroid on their way to the voice box. Sometimes a RLN has to be sacrificed doing thyroid cancer surgery; more often a surgeon with no business operating in that part of the body hits one (or both). Since you had a thyroidectomy, may I guess it was for cancer? Was the cancer outside the thyroid capsule? Good luck! ...Read more

Vocal Cord (Definition)

The vocal cord is a short (about 1cm long) band of tissue in the larynx (aka "voice box"). It is paired, so everyone has 2, and they are located just below the "adam's apple." when you breathe, they are separated from each other. When you speak, they come together while your lungs push air (like a bellows or bagpipe) past them, and they vibrate, like a reed ...Read more


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I am a thyroidectomy patient they did my surgery last 3 months ago.Then my right vocal cord get paralized, some idea to get my voice back pls..

I am a thyroidectomy patient they did my surgery last 3 months ago.Then my right vocal cord get paralized, some idea to get my voice back pls..

Injection or more: You can try with speech therapy which maximizes your voice based on how you speak. Other options include injections of either permanent or temporary products into your vocal cord to keep it more in contact with your mobile vocal cord. Finally, you can have an implant that keeps your paralyzed vocal cord more in contact with your mobile one. ...Read more

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I have a damaged vocal cord due to Thyroidectomy, lately i noticed an internal lump above collar bone left to the neck, could it be related?

I have a damaged vocal cord due to Thyroidectomy, lately i  noticed an internal lump above collar bone left to the neck, could it be related?

Perhaps, if: your thyroidictomy was performed for cancer, it could be recurrence in lymph node. Otherwise, lump is probably not directly related to nerve damage. Ask your surgeon for further advice. ...Read more

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I know main risks of thyroidectomy are damage to the vocal cords or parathyroid glands. Are there any statistics about the likelihood of these risks?

I know main risks of thyroidectomy are damage to the vocal cords or parathyroid glands. Are there any statistics about the likelihood of these risks?

Skill of your MD: Those are definitely the risk of the procedure. But a well skilled surgeon will decrease the odds of those complications. Statistics are just that numbers. Talk to your surgeon and check out their record and experience. ...Read more

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What are the tests for vocal cord paralysis?

What are the tests for vocal cord paralysis?

Laryngoscopy: The most common way to diagnose vocal cord paralysis is laryngoscopy in the office. This can be done with a mirror in the mouth, or passing a small bendable telescope through the nose into the throat to look at the larynx. There are fancy electrical tests to measure vocal cord nerve input, but that is difficult and not often used. ...Read more

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Would vocal cord dysfunction lead to a positive methacholine test? Can the cords constrict like bronchial passages during the test if vcd is present?

Would vocal cord dysfunction lead to a positive methacholine test? Can the cords constrict like bronchial passages during the test if vcd is present?

Yes: Methacholine challenge test can at times induce vocal cord dysfunction as well even though it is mainly used in diagnosing hyperreactive airways. Asthma and vcd co-exist in many cases. ...Read more

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How do I protect vocal cord? Left side pain in throat, especially after singing high notes or at loud volume. Not sore throat. Tests/help?

How do I protect vocal cord? Left side pain in throat, especially after singing high notes or at loud volume.  Not sore throat. Tests/help?

See your doc: It's important that you have a formal evaluation of your throat. You may consider seeing an ear, nose, throat doctor(ENT) who can better visualize your larynx/vocal cords. It's very possible that you have developed a vocal cord nodule/polyp causing your issues. Until there is a better understanding of the cause, you'd be best suited by limited the volume and pitch range of your singing. ...Read more

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In 2010 I had a total thyroidectomy & it was cancerous since then I have had 3 bouts of nuclear rad, last test was clear what is time frame for return?

In 2010 I had a total thyroidectomy & it was cancerous since then I have had 3 bouts of nuclear rad, last test was clear what is time frame for return?

??: I believe you are asking when should you be re-evaluated by your doc. I would hope that blood studies and other imaging studies have been done since 2010. If not, please talk to your doc soon. ...Read more

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Which test is best to monitor thyroid levels in thyroidectomy patients, just ft3 and ft4, TSH and ft4, or like i feel should be tsh, ft3 and ft4?

Which test is best to monitor thyroid levels in thyroidectomy patients, just ft3 and ft4, TSH and ft4, or like i feel should be tsh, ft3 and ft4?

TSH: All you really need is a tsh. Assuming there is nothing wrong with your pituitary, this hormone responds in a very sensitive manner to the levels of your T4 and t3 (liothyronine). You are presumably taking levothyroxine as replacement. ...Read more

Dr. William Culviner
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Thyroidectomy (Definition)

This is the removal of all or part of the thyroid gland. It is generally performed for rumors of the gland, occasionally for enlarged and hyper functioning glands that do ...Read more