Parálisis laríngea posoperatoria en cirugía de tiroides y paratiroides

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ISSN online: 2444-7986

Prefijo Doi: 10.14201

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Pablo Torrico-Román
Complejo Hospitalario Universitario de Badajoz
España
https://orcid.org/0000-0002-8627-4103
Biografía
Ramón González- Herranz
Servicio de Otorrinolaringología.Hospital Universitario de Fuenlabrada. Fuenlabrada. Madrid. España
España
https://orcid.org/0000-0002-4793-0593
Biografía
Vol. 11 Núm. 2 (2020), Artículo de revisión, Páginas 195-215
DOI: https://doi.org/10.14201/orl.21304
Aceptado: ago 30, 2019
Derechos de autor Cómo citar

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 diagnóstico, 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 está demostrado como determinante en el futuro de una parálisis de las cuerdas vocales. La rápida actuación, más allá de dejar pasar el tiempo como antaño, empleando las diferentes técnicas en el momento preciso, mejora los resultados obtenidos. 

Palabras clave:

parálisis laríngea, parálisis de cuerda vocal, parálisis del nervio recurrente laríngeo, disnea, tiroidectomía, tratamiento de la parálisis/paresia de la cuerda vocal

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