Functional Rejuvenation of Recurrent Laryngeal Nerve after Excision of Parathyroid Cyst: A Case Report and Systematic Review of Literature

JOURNAL TITLE: An International Journal of Otorhinolaryngology Clinics

Author
1. Murali Chintham
2. N Vishnu S Reddy
3. Manoj Sharma
ISSN
0975-444X
DOI
10.5005/jp-journals-10003-1351
Volume
12
Issue
2
Publishing Year
2020
Pages
4
Author Affiliations
    1. Department of ENT, Care Hospital, Hyderabad, Telangana India
    1. Department of ENT, Care Hospital, Hyderabad, Telangana India
    1. Department of ENT, Care Hospital, Hyderabad, Telangana India
  • Article keywords

    Abstract

    Vocal fold paralysis is a prevalent manifestation of various disorders inclusive of the commonest conditions, such as, cardiothoracic surgeries, head and neck malignancies, whereas parathyroid cysts and cervical osteophytes are the rarest causes of this common presentation. A comprehensive systematic review of the literature was done with keyword “parathyroid cysts causing vocal fold palsy” using MEDLINE, PubMed, additionally following PRISMA 2009 guidelines. A 59-year-old male patient presented with hoarseness of voice with right-sided neck swelling for one year. Excision of swelling adherent to the carotid sheath was done. Postoperative histopathological and biochemical analysis of aspirated fluid was consistent with the parathyroid cyst. Patient is in regular follow-up, and there are no clinical signs of recurrence and there is normal functioning of the affected vocal cord. This report adds to the growing knowledge of rare parathyroid cysts with unusual presentations, along with an understanding of pathophysiology, clinical diagnosis, and recovery options for vocal fold palsy due to lesions in the parathyroid gland.

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