{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T15:39:10Z","timestamp":1762875550479},"reference-count":17,"publisher":"Cambridge University Press (CUP)","issue":"8","license":[{"start":{"date-parts":[[2013,7,30]],"date-time":"2013-07-30T00:00:00Z","timestamp":1375142400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2013,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215113001552_sec1\"><jats:title>Background:<\/jats:title><jats:p>The presentation of vocal fold palsy with associated goitre has historically been considered to be due to malignancy with recurrent laryngeal nerve involvement.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215113001552_sec2\"><jats:title>Method:<\/jats:title><jats:p>In total, 830 consecutive patients who underwent thyroid surgery were reviewed. Patients with vocal fold paralysis and thyroid disease were examined to determine the aetiology of the paralysis.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215113001552_sec3\"><jats:title>Results:<\/jats:title><jats:p>Nine patients were identified with new onset vocal fold paralysis prior to thyroid surgery. Six of the patients with recurrent laryngeal nerve paralysis had benign thyroid disease, and for three of the patients the paralysis was secondary to malignancy.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215113001552_sec4\"><jats:title>Conclusion:<\/jats:title><jats:p>Recurrent laryngeal nerve paralysis in the presence of thyroid disease is not pathognomonic for malignancy. The current literature may underestimate the association between vocal fold paralysis and benign thyroid disease. The paper also highlights the importance of recurrent laryngeal nerve preservation in patients who present with palsy and thyroid disease; the relief of benign compression often leads to complete recovery of recurrent laryngeal nerve paralysis.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215113001552","type":"journal-article","created":{"date-parts":[[2013,7,30]],"date-time":"2013-07-30T09:22:56Z","timestamp":1375176176000},"page":"768-772","source":"Crossref","is-referenced-by-count":6,"title":["Vocal fold paralysis in the presence of thyroid disease: management strategies"],"prefix":"10.1017","volume":"127","author":[{"given":"F","family":"O'Duffy","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C","family":"Timon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2013,7,30]]},"reference":[{"key":"S0022215113001552_ref17","doi-asserted-by":"publisher","DOI":"10.1097\/MLG.0b013e31816f27ee"},{"key":"S0022215113001552_ref14","article-title":"Recurrent laryngeal nerve paralysis: compression by a thyroid cyst","volume":"2","author":"MacLellan","year":"1980","journal-title":"Med J Aust"},{"key":"S0022215113001552_ref11","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-191803000-00001"},{"key":"S0022215113001552_ref10","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-197406000-00002"},{"key":"S0022215113001552_ref8","first-page":"855","article-title":"Paralysis of the recurrent laryngeal nerve by an extracapsular thyroid adenoma","volume":"68","author":"Slomka","year":"1989","journal-title":"Ear Nose Throat J"},{"key":"S0022215113001552_ref6","volume-title":"Clinical Otolaryngology","author":"Maran","year":"1979"},{"key":"S0022215113001552_ref4","first-page":"290","article-title":"Etiologic features in patients with unilateral vocal fold paralysis in Taiwan","volume":"32","author":"Ko","year":"2009","journal-title":"Chang Gung Med J"},{"key":"S0022215113001552_ref3","first-page":"241","article-title":"Benign thyroid disease and vocal cord palsy","volume":"75","author":"Rowe-Jones","year":"1993","journal-title":"Ann R Coll Surg Engl"},{"key":"S0022215113001552_ref1","first-page":"855","article-title":"The cause and evaluation of unilateral vocal cord paralysis","volume":"84","author":"Srirompotong","year":"2001","journal-title":"J Med Assoc Thai"},{"key":"S0022215113001552_ref15","first-page":"139","article-title":"Recurrent nerve palsy after thyroid operations\u2013principal nerve identification and a literature review","volume":"115","author":"Jatzko","year":"1994","journal-title":"Surgery"},{"key":"S0022215113001552_ref2","first-page":"109","article-title":"Vocal fold palsy\u2013etiology and outcome [Danish]","volume":"12","author":"Mehlum","year":"2009","journal-title":"Ugeskr Laeger"},{"key":"S0022215113001552_ref13","first-page":"377","article-title":"Improvement of vocal cord paresis after thyroidectomy","volume":"53","author":"McCall","year":"1987","journal-title":"Am Surg"},{"key":"S0022215113001552_ref9","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1967.00760040337018"},{"key":"S0022215113001552_ref16","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199707000-00012"},{"key":"S0022215113001552_ref7","first-page":"340","article-title":"Vocal cord paralysis","volume":"150","author":"Fitzpatrick","year":"1998","journal-title":"J La State Med Soc"},{"key":"S0022215113001552_ref5","first-page":"570","article-title":"Cause, diagnosis and course in 215 patients with vocal cord paralysis [in Dutch]","volume":"139","author":"Bruggink","year":"1995","journal-title":"Ned Tijdschr Geneeskd"},{"key":"S0022215113001552_ref12","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.294.6580.1128-a"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215113001552","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,23]],"date-time":"2019-04-23T16:48:25Z","timestamp":1556038105000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215113001552\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,7,30]]},"references-count":17,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2013,8]]}},"alternative-id":["S0022215113001552"],"URL":"https:\/\/doi.org\/10.1017\/s0022215113001552","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,7,30]]}}}