Management of Post Thyroidectomy Recurrent Paralysis

Our aim was to describe the epidemiological, diagnostic and therapeutic aspects of post-thyroidectomy recurrent paralysis.Material and Methods : This was an observational, descriptive and retrospective study from January 2020 to January 2023, including patients who had consulted us for dysphonia, dyspnea after thyroidectomy; who had consulted us for other laryngeal symptoms after thyroidectomy, and whose nasofibroscopy or suspension laryngoscopy findings indicated immobility of one or more vocal cords.Results: A total thyroidectomy was performed in 74.1% of 27 cases. Inspiratory dyspnea and dysphonia were associated in 81.5%. Laryngeal diplegia accounted for 77.8% and monoplegia for 22.2%. RA was transient in 22.2%, permanent in 77.8% . Speech therapy was performed in 77.8% and transverse posterior cordotomy in 95.2%.Conclusion : Complementary diagnostic examinations are complex and not common practice in Mali.