{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T03:08:30Z","timestamp":1768446510404,"version":"3.49.0"},"reference-count":11,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2014,2,23]]},"abstract":"<jats:p>Bilateral vocal cord paralysis is a known possible complication following thyroid surgery. It owes to the close relationship between the recurrent laryngeal nerve and the thyroid gland. The most feared complication of bilateral vocal cord paralysis is airway compromise. We report the case of a 39-year-old woman who underwent total thyroidectomy for multinodular goitre. The surgery was uneventful. However she developed stridor in the recovery bay needing intubation. We postulate that the cause was attributed to bilateral vocal cord paresis due to the use of the intraoperative nerve monitoring (IONM) whose high setting throughout the surgery was overlooked. She made a complete recovery without the need of a tracheostomy. We share our lessons learnt from this case.<\/jats:p>","DOI":"10.1136\/bcr-2013-201033","type":"journal-article","created":{"date-parts":[[2014,3,24]],"date-time":"2014-03-24T06:42:22Z","timestamp":1395643342000},"page":"bcr2013201033","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":10,"title":["Bilateral vocal cord palsy post thyroidectomy: lessons learnt"],"prefix":"10.1136","volume":"2014","author":[{"given":"Khairunnisak","family":"Misron","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology-Head and Neck Surgery, Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anusha","family":"Balasubramanian","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology-Head and Neck Surgery, Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Irfan","family":"Mohamad","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology-Head and Neck Surgery, Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nik Fariza Husna","family":"Nik Hassan","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology-Head and Neck Surgery, Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia"},{"name":"Department of Speech Pathology Programme, Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2014,3,24]]},"reference":[{"key":"2025082707065609000_2014.mar24_1.bcr2013201033.1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.135.2.204"},{"key":"2025082707065609000_2014.mar24_1.bcr2013201033.2","doi-asserted-by":"publisher","DOI":"10.5001\/omj.2011.09"},{"key":"2025082707065609000_2014.mar24_1.bcr2013201033.3","doi-asserted-by":"crossref","first-page":"68","DOI":"10.47102\/annals-acadmedsg.V39N1p68","article-title":"Unusual presentation of a solitary thyroid cyst","volume":"39","author":"Irfan","year":"2010","journal-title":"Ann Acad Med Singapore"},{"key":"2025082707065609000_2014.mar24_1.bcr2013201033.4","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.6173"},{"key":"2025082707065609000_2014.mar24_1.bcr2013201033.5","unstructured":"Brown WF Bolton CF Aminoff MJ . Neuromuscular function and disease: basic, clinical and electrodiagnostic aspects. W.B Saunders Company, 2002:1857\u201365. Chapter 104."},{"key":"2025082707065609000_2014.mar24_1.bcr2013201033.6","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-1622.2001.02078.x"},{"key":"2025082707065609000_2014.mar24_1.bcr2013201033.7","doi-asserted-by":"publisher","DOI":"10.1002\/lary.21578"},{"key":"2025082707065609000_2014.mar24_1.bcr2013201033.8","doi-asserted-by":"publisher","DOI":"10.1001\/archoto.2009.167"},{"key":"2025082707065609000_2014.mar24_1.bcr2013201033.9","doi-asserted-by":"publisher","DOI":"10.1007\/BF01655238"},{"key":"2025082707065609000_2014.mar24_1.bcr2013201033.10","first-page":"16","article-title":"Recurrent laryngeal nerve in thyroid surgery: is routine identification necessary?","volume":"12","author":"Khan","year":"2008","journal-title":"J RMC"},{"key":"2025082707065609000_2014.mar24_1.bcr2013201033.11","first-page":"171","article-title":"The protective role of mecobalamine following optic nerve crush in adult rats","volume":"20","author":"Kong","year":"2004","journal-title":"Yan Ke Xue Bao"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-201033","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T14:07:03Z","timestamp":1756303623000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-201033"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,3,24]]},"references-count":11,"alternative-id":["10.1136\/bcr-2013-201033"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-201033","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,3,24]]}}}