Rev Med UAS
Rev Med UAS; Vol. 14 No. 4. Octubre-Diciembre 2024
ISSN 2007-8013

Evaluación de las alteraciones de movilidad cordal posterior a cirugía tiroidea en el Hospital Civil de Culiacán

Evaluation of alterations in cord mobility after thyroid surgery at the Civil Hospital of Culiacan

Aguilar-Chirino Luis Martín1*, Torrontegui-Zazueta Luis Alejandro1, Echeagaray-Sánchez Héctor Luis2.

  1. Residente de Otorrinolaringología y Cirugía de Cabeza y Cuello, Centro de Investigación y Docencia en Ciencias de la Salud. Hospital Civil de Culiacán, Universidad Autónoma, Sinaloa, México.
  2. Médico Adscrito del Departamento de Otorrinolaringología y Cirugía de Cabeza y Cuello, Centro de Investigación y Docencia en Ciencias de la Salud. Hospital Civil de Culiacán, Universidad Autónoma, Sinaloa, México.

*Autor de correspondencia:Luis Martín Aguilar-Chirino
Dirección: Calle Melchor Ocampo #1477, Colonia Gabriel Leyva. Código Postal 80030.
Correo electrónico: dr.luis.aguilar.chirino@gmail.com

DOI http://dx.doi.org/10.28960/revmeduas.2007-8013.v14.n4.004

Texto Completo PDF

Recibido 29 de enero 2024, aceptado 20 de febrero 2024

Objetivos: Analizar la presencia y evolución de la alteración cordal posterior a la cirugía tiroidea por medio de nasofibrolaringoscopías flexibles así como su relación con el diagnóstico histopatológico. --- Material y métodos: Estudio longitudinal, cohorte restrospectiva que incluyó pacientes sometidos a tiroidectomía, los cuales fueron evaluados a través de nasofibrolaringoscopías flexibles seriadas y el cuestionario de índice de incapacidad vocal. Evaluaciones realizadas en los siguientes momentos: prequirúrgico, a las 24 horas, 7 días, 14 días, 1 mes y 3 meses del posquirúrgico. Resultados: Se evaluaron 62 pacientes sometidos a cirugía tiroidea, en los hallazgos en la nasofibrolaringoscopía flexible, a las 24 horas del posquirúrgico se encontraron 57 (91.9%) pacientes sin afección en la movilidad cordal, 5 (8%) pacientes con alteración en la movilidad de las cuerdas vocales, todos con afección cordal unilateral, y con resolución espontánea total de todos los casos al tercer mes. --- Conclusión: Se obtuvo una frecuencia del 8% de alteraciones en la movilidad cordal posterior a tiroidectomía con resolución espontánea en todos los casos, similar a lo reportado en la literatura internacional.
Palabras clave: Parálisis cordal, tiroidectomía, paresia cordal, nasofibrolaringoscopía

ABSTRACT
Objective: To analyze the presence and evolution of vocal cord impairment through flexible fiberoptic laryngoscopies and the relationship with the histopathological diagnosis. --- Methods: This longitudinal study is a retrospective cohort that included patients undergoing thyroidectomy, who were evaluated through serial flexible nasofibrolaryngoscopies and the vocal disability index questionnaire. Evaluations carried out at the following times: pre-surgery, 24 hours, 7 days, 14 days, 1 month and 3 months after surgery. --- Results: 62 patients undergoing thyroid surgery were evaluated, in the findings in the flexible nasofibrolaryngoscopy, 24 hours after surgery, 57 (91.9%) patients were found without affection in the cord mobility, 5 (8%) patients with alteration in the mobility of the vocal cords, all with unilateral cord involvement, and with total spontaneous resolution of all cases by the third month. The most frequent definitive histopathological diagnosis was multinodular goiter in 28 patients (45.1%). --- Conclusion: A frequency of 8% of alterations in chordal mobility after thyroidectomy with spontaneous resolution was obtained in all cases, similar to that reported in the international literature.
Keywords: Cord paralysis, thyroidectomy, cord paresia, nasolaryngoscopy.

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