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Case Reports in Surgery
Volume 2015, Article ID 379258, 3 pages
Case Report

A Case of Transient Local Anesthetic Induced Bilateral Vocal Cord Palsy

1Department of Anesthesia, King Fahad Medical City, Riyadh, Saudi Arabia
2Department of Surgical Specialties, King Fahad Medical City, Riyadh, Saudi Arabia

Received 29 April 2015; Accepted 1 June 2015

Academic Editor: Brian H.-H. Lang

Copyright © 2015 M. Rafiq et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


We report a rare case of bilateral vocal cord palsy following total thyroidectomy with successful extubation within 12 hours. The patient is a 33-year-old lady who underwent uneventful total thyroidectomy for compressive symptoms. Thirty minutes after extubation, she developed stridor and the flexible laryngoscopy showed bilaterally adducted vocal cords. The patient, thus, was reintubated and after 12 hours she met the extubation parameters and so she was extubated successfully. The repeated flexible laryngoscopy showed normal vocal cords. A review of the literature revealed limited information on this transient condition.