Contenido principal del artículo

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. 

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Alghonaim Y, Roskies M, Kost K, Young J. Evaluating the timing of injection laryngoplasty for vocal fold paralysis in an attempt to avoid future type 1 thyroplasty. J Otolaryngol Head Neck Surg. 2013 Mar;42:24.

Arviso LC, Johns MM, Mathison CC, Klein AM. Long-term outcomes of injection laryngoplasty in patients with potentially recoverable vocal fold paralysis. Laryngoscope. 2010 Nov;120(11):2237–40.

Aspinall S, Oweis D, Chadwick D. Effect of surgeons’ annual operative volume on the risk of permanent Hypoparathyroidism, recurrent laryngeal nerve palsy and Haematoma following thyroidectomy: analysis of United Kingdom registry of endocrine and thyroid surgery (UKRETS). Langenbeck’s Arch Surg. 2019;404(4):421–30.

Barnes EB, Ballance C. Anastomosis of Recurrent Laryngeal to Phrenic Nerves: Some Recovery of Function. Br Med J. 1927 Jul 30;2(3473):158–9.

Benjamin B. Vocal cord paralysis, synkinesis and vocal fold motion impairment. ANZ J Surg. 2003 Oct;73(10):784–6.

Bequignon E, Dang H, Zerah-Lancner F, Coste A, Boyer L, Papon J-F. Unilateral recurrent laryngeal nerve palsy post-thyroidectomy: Looking for hyperventilation syndrome. Eur Ann Otorhinolaryngol Head Neck Dis. 2019; pii: S1879-7296(19)30111-5.

Bergenfelz A, Jansson S, Kristoffersson A, Mårtensson H, Reihnér E, Wallin G, et al. Complications to thyroid surgery: results as reported in a database from a multicenter audit comprising 3,660 patients. Langenbeck’s Arch Surg. 2008 Sep;393(5):667–73.

Bhattacharyya N, Batirel H, Swanson SJ. Improved outcomes with early vocal fold medialization for vocal fold paralysis after thoracic surgery. Auris Nasus Larynx. 2003 Feb;30(1):71–5.

Blitzer A, Crumley RL, Dailey SH, Ford CN, Floeter MK, Hillel AD, et al. Recommendations of the Neurolaryngology Study Group on laryngeal electromyography. Otolaryngol Head Neck Surg. 2009 Jun;140(6):782-93.

Brandenburg JH, Kirkham W, Koschkee D. Vocal cord augmentation with autogenous fat. Laryngoscope. 1992 May;102(5):495–500.

C. J. Ventriculocordectomy: a new operation for the cure of goitrous paralytic laryngeal stenosis. Arch Surg. 1922;4(2):257–74.

Calò PG, Pisano G, Medas F, Tatti A, Tuveri M, Nicolosi A. Risk factors in reoperative thyroid surgery for recurrent goitre: our experience. G Chir. 2012 Oct;33(10):335–8.

Cavo JW. True vocal cord paralysis following intubation. Laryngoscope. 1985 Nov;95(11):1352–9.

Chen X, Wan P, Yu Y, Li M, Xu Y, Huang P, et al. Types and timing of therapy for vocal fold paresis/paralysis after thyroidectomy: a systematic review and meta-analysis. J Voice Off J Voice Found. 2014 Nov;28(6):799–808.

Chester MW, Stewart MG. Arytenoid adduction combined with medialization thyroplasty: an evidence-based review. Otolaryngol Neck Surg Off J Am Acad Otolaryngol Neck Surg. 2003 Oct;129(4):305–10.

Christou N, Mathonnet M. Complications after total thyroidectomy. J Visc Surg. 2013 Sep;150(4):249–56.

Clavé P, Arreola V, Romea M, Medina L, Palomera E, Serra-Prat M. Accuracy of the volume-viscosity swallow test for clinical screening of oropharyngeal dysphagia and aspiration. Clin Nutr. 2008 Dec;27(6):806–15.

Colledge L. On the possibility of restoring movement to a paralysed vocal cord by nerve anastomosis : (An Experimental Inquiry.). Br Med J. 1925 Mar 21;1(3351):547–8.

DP KHD. Carbon dioxide laser poste- rior cordectomy for treatment of bilateral vocal cord paralysis. Ann Otol Rhinol Laryngol. 1989; 98(12 Pt 1):930-4.

De Palma M, Rosato L, Zingone F, Orlando G, Antonino A, Vitale M, et al. Post-thyroidectomy complications. The role of the device: bipolar vs ultrasonic device: Collection of data from 1,846 consecutive patients undergoing thyroidectomy. Am J Surg. 2016 Jul;212(1):116–21.

De Virgilio A, Chang M-H, Jiang R-S, Wang C-P, Wu S-H, Liu S-A, et al. Influence of superior laryngeal nerve injury on glottal configuration/function of thyroidectomy-induced unilateral vocal fold paralysis. Otolaryngol Neck Surg Off J Am Acad Otolaryngol Neck Surg. 2014 Dec;151(6):996–1002.

Dedo HH, Sooy CD. Endoscopic laser repair of posterior glottic, subglottic and tracheal stenosis by division or micro-trapdoor flap. Laryngoscope. 1984 Apr;94(4):445–50.

DiLisio RP, Mazzeffi MA, Bodian CA, Fischer GW. Vocal cord paralysis after aortic surgery. J Cardiothorac Vasc Anesth. 2013 Jun;27(3):522–7.

Dionigi G, Boni L, Rovera F, Rausei S, Castelnuovo P, Dionigi R. Postoperative laryngoscopy in thyroid surgery: proper timing to detect recurrent laryngeal nerve injury. Langenbeck’s Arch Surg. 2010 Apr;395(4):327–31.

Dzodic R, Markovic I, Santrac N, Buta M, Djurisic I, Lukic S. Recurrent Laryngeal Nerve Liberations and Reconstructions: A Single Institution Experience. World J Surg. 2016 Mar;40(3):644–51.

D’Alatri L, Galla S, Rigante M, Antonelli O, Buldrini S, Marchese MR. Role of early voice therapy in patients affected by unilateral vocal fold paralysis. J Laryngol Otol. 2008 Sep;122(9):936–41.

Ekbom DC, Garrett CG, Yung KC, Johnson FL, Billante CR, Zealear DL, et al. Botulinum toxin injections for new onset bilateral vocal fold motion impairment in adults. Laryngoscope. 2010 Apr;120(4):758–63.

Enomoto K, Uchino S, Watanabe S, Enomoto Y, Noguchi S. Recurrent laryngeal nerve palsy during surgery for benign thyroid diseases: risk factors and outcome analysis. Surgery. 2014 Mar;155(3):522–8.

Feng Y, Yang D, Liu D, Chen J, Bi Q, Luo K. [Immediate recurrent laryngeal nerve reconstruction in the treatment of thyroid cancer invading the recurrent laryngeal nerve]. Zhonghua Zhong Liu Za Zhi. 2014 Aug;36(8):621–5.

Fewins J, Simpson CB, Miller FR. Complications of thyroid and parathyroid surgery. Otolaryngol Clin North Am. 2003 Feb;36(1):189-206, x.

Fleischer S, Schade G, Hess MM. Office-based laryngoscopic observations of recurrent laryngeal nerve paresis and paralysis. Ann Otol Rhinol Laryngol. 2005 Jun;114(6):488–93.

Frazier CH. The treatment of paralysis of the recurrent laryngeal nerve by nerve anastomosis. Ann Surg. 1924; 79(2):161-71.

Friedman AD, Burns JA, Heaton JT, Zeitels SM. Early versus late injection medialization for unilateral vocal cord paralysis. Laryngoscope. 2010 Oct;120(10):2042–6.

Galebsky A. Uber plastische Laryngostomie.  Monatss chrift für Ohernheilkd und Laryngo-Rhinologie. 1927;61:557–70.

Gardner GM, Smith MM, Yaremchuk KL, Peterson EL. The cost of vocal fold paralysis after thyroidectomy. Laryngoscope. 2013;123(6):1455-63.

Gilony D, Gilboa D, Blumstein T, Murad H, Talmi YP, Kronenberg J, et al. Effects of tracheostomy on well-being and body-image perceptions. Otolaryngol Head Neck Surg. 2005 Sep;133(3):366-71.

Godballe C, Madsen AR, Sørensen CH, Schytte S, Trolle W, Helweg-Larsen J, et al. Risk factors for recurrent nerve palsy after thyroid surgery: a national study of patients treated at Danish departments of ENT Head and Neck Surgery. Eur Arch oto-rhino-laryngology Off J Eur Fed Oto-Rhino-Laryngological Soc Affil with Ger Soc Oto-Rhino-Laryngology - Head Neck Surg. 2014 Aug;271(8):2267–76.

Grosheva M, Wittekindt C, Pototschnig C, Lindenthaler W, Guntinas-Lichius O. Evaluation of peripheral vocal cord paralysis by electromyography. Laryngoscope. 2008 Jun;118(6):987–90.

Hermann M, Alk G, Roka R, Glaser K, Freissmuth M. Laryngeal recurrent nerve injury in surgery for benign thyroid diseases: effect of nerve dissection and impact of individual surgeon in more than 27,000 nerves at risk. Ann Surg. 2002 Feb;235(2):261–8.

Hermann M, Keminger K, Kober F, Nekahm D. [Risk factors in recurrent nerve paralysis: a statistical analysis of 7566 cases of struma surgery]. Chirurg. 1991 Mar;62(3):182–7; discussion 188.

Hess M, Schroeder D, Püschel K. Sling arytenoid adduction. Eur Arch oto-rhino-laryngology Off J Eur Fed Oto-Rhino-Laryngological Soc Affil with Ger Soc Oto-Rhino-Laryngology - Head Neck Surg. 2011 Jul;268(7):1023–8.

Hirano M, Ohala J, Vennard W. The function of laryngeal muscles in regulating fundamental frequency and intensity of phonation. J Speech Hear Res. 1969 Sep;12(3):616–28.

Ingle JW, Young VN, Smith LJ, Munin MC, Rosen CA. Prospective evaluation of the clinical utility of laryngeal electromyography. Laryngoscope. 2014 Dec;124(12):2745–9.

Isshiki N. Mechanical and dynamic aspects of voice production as related to voice therapy and phonosurgery. J Voice. 1998 Jun;12(2):125–37.

Iwaki S, Maeda T, Saito M, Otsuki N, Takahashi M, Wakui E, et al. Role of immediate recurrent laryngeal nerve reconstruction in surgery for thyroid cancers with fixed vocal cords. Head Neck. 2017;39(3):427–31.

Joliat G-R, Guarnero V, Demartines N, Schweizer V, Matter M. Recurrent laryngeal nerve injury after thyroid and parathyroid surgery: Incidence and postoperative evolution assessment. Medicine (Baltimore). 2017 Apr;96(17):e6674.

King B. New and function-restoring operation for bilateral abductor cord paralysis: preliminary report. JAMA. 1939;112(9):814–23.

Kirchner FR. Endoscopic lateralization of the vocal cord in abductor paralysis of the larynx. Laryngoscope. 1979 Nov;89(11):1779–83.

Laccourreye O, Paz Escovar MI, Gerhardt J, Hans S, Biacabe B, Brasnu D. CO2 laser endoscopic posterior partial transverse cordotomy for bilateral paralysis of the vocal fold. Laryngoscope. 1999 Mar;109(3):415–8.

Lagier A MJ. Cirugía de las parálisis laríngeas. EMC - Cirugía otorrinolaringológica y Cervicofac. 2015;16(1):1-22 [Artículo E – 46-380].

Lahey FH, Hoover WB. Injuries to the recurrent laryngeal nerve in thyroid operations: their management and avoidance. Ann Surg. 1938 Oct;108(4):545–62.

Le VQ, Ngo QD, Ngo XQ. Nonrecurrent laryngeal nerve in thyroid surgery: Frequency, anatomical variations according to a new classification and surgery consideration. Head Neck. 2019;41(9):2969-75.

Leder SB, Ross DA. Incidence of vocal fold immobility in patients with dysphagia. Dysphagia. 2005;20(2):163–7; discussion 168-9.

Li AJ, Johns MM, Jackson-Menaldi C, Dailey S, Heman-Ackah Y, Merati A, et al. Glottic closure patterns: type I thyroplasty versus type I thyroplasty with arytenoid adduction. J Voice Off J Voice Found. 2011 May;25(3):259–64.

Li M, Chen S, Zheng H, Chen D, Zhu M, Wang W, et al. Reinnervation of Bilateral Posterior Cricoarytenoid Muscles Using the Left Phrenic Nerve in Patients with Bilateral Vocal Fold Paralysis. PLoS One. October 2, 2013; https://doi.org/10.1371/journal.pone.0077233.

Lichtenberger G. Reversible lateralization of the paralyzed vocal cord without tracheostomy. Ann Otol Rhinol Laryngol. 2002 Jan;111(1):21-6.

Lynch J, Parameswaran R. Management of unilateral recurrent laryngeal nerve injury after thyroid surgery: A review. Head Neck. 2017;39(7):1470–8.

Martin JH, Thomson JE, Aviv JE, Kim T, Diamond B, Sacco RL, et al. Laryngopharyngeal sensory discrimination testing and the laryngeal adductor reflex. Ann Otol Rhinol Laryngol. 1999;108(8):725-30.

Mattsson P, Hydman J, Svensson M. Recovery of laryngeal function after intraoperative injury to the recurrent laryngeal nerve. Gland Surg. 2015 Feb;4(1):27–35.

Maurizi M, Paludetti G, Galli J, Cosenza A, Di Girolamo S, Ottaviani F. CO2 laser subtotal arytenoidectomy and posterior true and false cordotomy in the treatment of post-thyroidectomy bilateral laryngeal fixation in adduction. Eur Arch Otorhinolaryngol. 1999;256(6):291–5.

McCulloch TM, Hoffman HT, Andrews BT, Karnell MP. Arytenoid adduction combined with Gore-Tex medialization thyroplasty. Laryngoscope. 2000 Aug;110(8):1306–11.

Merati AL. In-office Evaluation of Swallowing. FEES, Pharyngeal Squeeze Maneuver, and FEESST. Otolaryngol Clin North Am. 2013 Feb;46(1):31-9.

Merati AL, Shemirani N, Smith TL, Toohill RJ. Changing trends in the nature of vocal fold motion impairment. Am J Otolaryngol. 2006;27(2):106–8.

Miyauchi A, Ishikawa H, Matsusaka K, Maeda M, Matsuzuka F, Hirai K, et al. [Treatment of recurrent laryngeal nerve paralysis by several types of nerve suture]. Nihon Geka Gakkai Zasshi. 1993 Jun;94(6):550–5.

Mortensen M, Carroll L, Woo P. Arytenoid adduction with medialization laryngoplasty versus injection or medialization laryngoplasty: the role of the arytenoidopexy. Laryngoscope. 2009 Apr;119(4):827–31.

Nomura K, Kunibe I, Katada A, Wright CT, Huang S, Choksi Y, et al. Bilateral motion restored to the paralyzed canine larynx with implantable stimulator. Laryngoscope. 2010 Dec;120(12):2399–409.

Nouraei SAR, Whitcroft K, Patel A, Chatrath P, Sandhu GS, Kaddour H. Impact of unilateral vocal fold mobility impairment on laryngopulmonary physiology. Clin Otolaryngol. 2014;39(4): 210-5.

Ohta N, Kuratani T, Hagihira S, Kazumi K-I, Kaneko M, Mori T. Vocal cord paralysis after aortic arch surgery: predictors and clinical outcome. J Vasc Surg. 2006 Apr;43(4):721–8.

Okamoto I, Tokashiki R, Hiramatsu H, Motohashi R, Suzuki M. Detection of passive movement of the arytenoid cartilage in unilateral vocal-fold paralysis by laryngoscopic observation: Useful diagnostic findings. Eur Arch Otorhinolaryngol. 2012 Feb;269(2):565-70.

Ossoff RH, Sisson GA, Duncavage JA, Moselle HI, Andrews PE, McMillan WG. Endoscopic laser arytenoidectomy for the treatment of bilateral vocal cord paralysis. Laryngoscope. 1984 Oct;94(10):1293–7.

O’Neill JP, Fenton JE. The recurrent laryngeal nerve in thyroid surgery. Surg J R Coll Surg Edinburgh Irel. 2008 Dec;6(6):373–7.

Paniello RC. Laryngeal reinnervation. Otolaryngol Clin North Am. 2004 Feb;37(1):161–81, vii–viii.

Rethi A. [A new surgical method for bilateral paramesial fixation of the vocal cords with reference to the operation for cicatricial laryngeal stenosis]. Z Laryngol Rhinol Otol. 1955 Jul;34(7):464–72.

Rickert SM, Childs LF, Carey BT, Murry T, Sulica L. Laryngeal electromyography for prognosis of vocal fold palsy: a meta-analysis. Laryngoscope. 2012 Jan;122(1):158–61.

Rontal E, Rontal M, Silverman B, Kileny PR. The clinical differentiation between vocal cord paralysis and vocal cord fixation using electromyography. Laryngoscope. 1993 Feb;103(2):133–7.

Rosato L, Avenia N, Bernante P, De Palma M, Gulino G, Nasi PG, et al. Complications of Thyroid Surgery: Analysis of a Multicentric Study on 14,934 Patients Operated on in Italy over 5 Years. World J Surg. 2004.

Rosenthal LHS, Benninger MS, Deeb RH. Vocal fold immobility: a longitudinal analysis of etiology over 20 years. Laryngoscope. 2007;117(10):1864–70.

Rosow DE, Sulica L. Laryngoscopy of vocal fold paralysis: evaluation of consistency of clinical findings. Laryngoscope. 2010 Jul;120(7):1376–82.

Roy N, Smith ME, Houtz DR. Laryngeal features of external superior laryngeal nerve denervation: revisiting a century-old controversy. Ann Otol Rhinol Laryngol. 2011 Jan;120(1):1–8.

Rubin AD, Hawkshaw MJ, Moyer CA, Dean CM, Sataloff RT. Arytenoid cartilage dislocation: A 20-year experience. J Voice. 2005;19(4):687-701.

Rubin AD, Sataloff RT. Vocal Fold Paresis and Paralysis. Otolaryngol Clin North America. 2007;40(5):1109-31, viii-ix.

Sataloff RT, Praneetvatakul P, Heuer RJ, Hawkshaw MJ, Heman-Ackah YD, Schneider SM, et al. Laryngeal electromyography: clinical application. J Voice. 2010 Mar;24(2):228-34.

Schindler A, Bottero A, Capaccio P, Ginocchio D, Adorni F, Ottaviani F. Vocal Improvement After Voice Therapy in Unilateral Vocal Fold Paralysis. J Voice. 2008; 22(1):113-8.

Schneider M, Dahm V, Passler C, Sterrer E, Mancusi G, Repasi R, et al. Complete and incomplete recurrent laryngeal nerve injury after thyroid and parathyroid surgery: Characterizing paralysis and paresis. Surgery. 2019; 166(3):369-74.

Smith LJ, Rosen CA, Niyonkuru C, Munin MC. Quantitative electromyography improves prediction in vocal fold paralysis. Laryngoscope. 2012 Apr;122(4):854–9.

Song PC, Sung CK, Franco RA. Voice outcomes after endoscopic injection laryngoplasty with hyaluronic acid stabilized gel. Laryngoscope. 2010;120 Suppl 4:S199.

Song Phillip C. Bruch Jean , and Franco Ramon A. Jr. HI. Postoperative Management of Unilateral RLN Paralysis. In: Randolph GW, editor. The Recurrent and Superior Laryngeal Nerves. Switzerland: Springer International Publishing; 2016. p. 271–84.

Sosa JA, Bowman HM, Tielsch JM, Powe NR, Gordon TA, Udelsman R. The importance of surgeon experience for clinical and economic outcomes from thyroidectomy. Ann Surg. 1998 Sep;228(3):320–30.

Steurer M, Passler C, Denk DM, Schneider B, Niederle B, Bigenzahn W. Advantages of recurrent laryngeal nerve identification in thyroidectomy and parathyroidectomy and the importance of preoperative and postoperative laryngoscopic examination in more than 1000 nerves at risk. Laryngoscope. 2002 Jan;112(1):124–33.

Thornell WC. Intralaryngeal approach for arytenoidectomy in bilateral abductor paralysis of the vocal cords; a preliminary report. Arch Otolaryngol. 1948 Apr;47(4):505–8.

Tomoda C, Hirokawa Y, Uruno T, Takamura Y, Ito Y, Miya A, et al. Sensitivity and specificity of intraoperative recurrent laryngeal nerve stimulation test for predicting vocal cord palsy after thyroid surgery. World J Surg. 2006 Jul;30(7):1230–3.

Varaldo E, Ansaldo GL, Mascherini M, Cafiero F, Minuto MN. Neurological complications in thyroid surgery: a surgical point of view on laryngeal nerves. Front Endocrinol (Lausanne). 2014;5:108.

Wang C-C, Chang M-H, De Virgilio A, Jiang R-S, Lai H-C, Wang C-P, et al. Laryngeal electromyography and prognosis of unilateral vocal fold paralysis--a long-term prospective study. Laryngoscope. 2015 Apr;125(4):898–903.

Woodman D. A modification of the extralaryngeal approach to arytenoidectomy for bilateral abductor paralysis. Arch Otolaryngol. 1946 Jan;43:63–5.

Woodson G. Arytenoid abduction for bilateral vocal fold immobility. Curr Opin Otolaryngol Head Neck Surg. 2011 Dec;19(6):428–33.

Woodson GE. Configuration of the glottis in laryngeal paralysis. I: Clinical study. Laryngoscope. 1993 Nov;103(11 Pt 1):1227–34.

Woodson GE. Spontaneous laryngeal reinnervation after recurrent laryngeal or vagus nerve injury. Ann Otol Rhinol Laryngol. 2007 Jan;116(1):57–65.

Yamanaka H, Hayashi Y, Watanabe Y, Uematu H, Mashimo T. Prolonged hoarseness and arytenoid cartilage dislocation after tracheal intubation. Br J Anaesth. 2009 Sep;103(3):452–5.

Yung KC, Likhterov I, Courey MS. Effect of temporary vocal fold injection medialization on the rate of permanent medialization laryngoplasty in unilateral vocal fold paralysis patients. Laryngoscope. 2011 Oct;121(10):2191–4.

Zealear DL, Kunibe I, Nomura K, Billante C, Singh V, Huang S, et al. Rehabilitation of bilaterally paralyzed canine larynx with implantable stimulator. Laryngoscope. 2009;119(9): 1737-44.

Zeitels SM, Hillman RE, Desloge RB, Bunting GA. Cricothyroid subluxation: a new innovation for enhancing the voice with laryngoplastic phonosurgery. Ann Otol Rhinol Laryngol. 1999 Dec;108(12):1126–31.