Question 136 · LEK · Thyroid surgery
A 56-year-old patient was subjected to total thyroidectomy because of Grave’s disease. Immediately after the removal of the tracheal tube the symptoms of acute respiratory failure occurred including stridor and dyspnea. The most probable reason for such symptoms is:
- A. injury of the trachea during the intubation.
- B. bilateral vocal fold paralysis with narrow glottis gap.
- C. bilateral vocal fold paralysis with wide glottis gap.
- D. postoperative bleeding at the site of the excised gland.
- E. overdose of general anesthetics.
Hint
Think about which nerves are at risk during thyroidectomy and where the vocal folds settle when both are damaged.
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