[HSF] Intimal Tears

[Michael Firstenberg]

When I was in general surgery, we had a patient who had his arytinoid (sp?
i.e. cord) dislocated from intubation as a cause of his hoarseness -
something else to consider, which I why I always have them look at the cord
whenever there is a question post-op

-michael


On 2/4/08, Prasanna Simha M <prasannasimha at gmail.com> wrote:
>
> Not necessarily. Superior laryngeal nerve palsy can occur after intubation
> and leads to a temporary hoarseness and "loss of strength " of the voice.
> Prasanna
>
> On Feb 4, 2008 10:12 PM, <Jbflegejr at aol.com> wrote:
>
> > I had a patient, middle aged man, who had unevenful CABG and had right
> > vocal
> > cord paralysis postoperativel. His hoarseness was pronounced and no one,
> > family or staff, had noticed it preop. His right inernal mammary artery
> > was not
> > dissected, his right pleural cavity was not opened. He had a right IJ
> line
> > placed. My theory is that the right vagus nerve was implaled by the
> needle
> > and the
> > fibers destined to become the recurrent nerve were therby injured. John
> > Flege
> >
> >
> >
> > **************Biggest Grammy Award surprises of all time on AOL Music.
> > (
> >
> http://music.aol.com/grammys/pictures/never-won-a-grammy?NCID=aolcmp003000000025
> > 48)
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> Prasanna Simha M
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