Vocal cord palsy

The 28 year female patient who is a professional singer and has undergone hemithyroidectomy for a solitary thyroid nodule on the left side. After the surgery she noticed that she is not able to raise the tone of her voice during singing. Her voice is normal other wise. What has gone wrong during the surgery?

• laryngeal edema due to excessive soft tissue dissection

• injury to left external branch of superior laryngeal nerve

• injury to left internal branch of superior laryngeal nerve

• injury to the left recurrent laryngeal nerve

Which nerve is used for anastomsois in laryngeal reinnervation in case of recurrent laryngeal injury during thyroid surgery?

• Phrenic nerve

• Greater auricular nerve

• Ansa cervicalis

• Ansa hypoglossal

In case of bilateral abductor cord palsy management which procedure will have very poor voice?

• Suture laterlisation

• Kashima's procedure

• LASER arytenoidectomy

• Posterior tranverse cordotomy

Which type of thyroplasty is done for treatment of Androphonia

• Type 1

• Type 2

• Type 3

• Type 4

A patient under went right sided neck dissection for oral cavity malignancy following which he developed voice change and aspiration on taking liquids. Which nerve might have been damaged.

• Right recurrent laryngeal nerve

• Vagus

• Internal branch superior laryngeal nerve

• External branch of superior laryngeal nerve

Which of the following muscle is only abductor of the cord?

• Cricothyroid

• Posterior criciarytenoid

• Interarytenoid

• Lateral cricoarytenoid

Which procedure is now infrequently used owing to the late complication of granuloma formation?

• Teflon injection

• Collagen injection

• Autologous fat injection

• Gelfoam injection

Most common cause of recurrent laryngeal nerve palsy is

• Thyroid surgery

• Thyroid neoplasm

• Oesophageal neoplasm

• Neck trauma

What is the emergency management of Bilateral vocal fold paralysis presenting with stridor?

• Endotracheal intubation

• Cricothyrotomy

• Nebulisation with bronchodilator

• Tracheostomy

Which one of the following is not an advantage of Videostroboscopy over routine videolaryngoscopy?

• Mucosal wave pattern is clearly seen

• Vocal folds movements can be seen in slow motion

• Small lesions over the vocal fold can be seen easily

• Vocal cord movements are clearly seen