dc.contributor.author | Mbogho, George M | |
dc.date.accessioned | 2013-05-24T13:14:26Z | |
dc.date.available | 2013-05-24T13:14:26Z | |
dc.date.issued | 1991 | |
dc.identifier.citation | Master Of Medicine in Ear, Nose and Throat Head and Neck Surgery (e.n.t - H&n), University Of Nairobi, 2001 | en |
dc.identifier.uri | http://erepository.uonbi.ac.ke:8080/xmlui/handle/11295/25463 | |
dc.description.abstract | This is a retrospective descriptive study on vocal cord
paralysis following thyroidectomy at the Ear, Nose and
Throat - Head and Neck (E.N.T. - H&N)surgical unit of
Kenyatta National Hospital (KNH).Atotal of 454 patients
were included in this study. Out of this 28 (6.2%) had
developed vocal cord paralysis. In this study therefore
the crude incidence of vocal cord paralysis was found to
be 6.2%. The left vocal cord was found paralyzed in
more than 50% of the cases. It was also found that
patients with repeat thyroidectomies, cancer, of the
thyroid gland, and total thyroidectomies had a higher
risk of developing vocal cord paralysis. Patients who
had vocal cord paralysis with upper airway obstruction
were done arytenoidectomy and lateralisation of vocal
cords to improve the airway. One patient had a
tracheostomy and a metallic tracheostomy tube with
speaking valve fitted with satisfactory phonation, while
eight patients are still being followed up in Ear, Nose and
Throat, Head and Neck clinic at Kenyatta National
Hospital for possible lateralisation of vocal cords. | en |
dc.language.iso | en | en |
dc.publisher | University of Nairobi, | en |
dc.title | Vocal cord paralysis: a complication of thyroid surgery | en |
dc.type | Thesis | en |
dc.description.department | a
Department of Psychiatry, University of Nairobi, ; bDepartment of Mental Health, School of Medicine,
Moi University, Eldoret, Kenya | |
local.publisher | School of Medicine | en |