Nerve Injury During Ultrasound-Guided Thyroid Biopsy-A First Reported Complication of Permanent Vocal Fold Paralysis

Lyndsay L Madden, Moeko Nagatsuka, Azeem Z Vasi, Jayesh Madrecha, Libby J Smith, Lyndsay L Madden, Moeko Nagatsuka, Azeem Z Vasi, Jayesh Madrecha, Libby J Smith

Abstract

Needle biopsy is a well-established component in the evaluation of thyroid nodules. The biopsy is usually performed with an ultrasound guidance and consists of either fine-needle aspiration or core needle biopsy. Although these terms are often used interchangeably, their difference is important. To our knowledge, we discuss the first reported case of biopsy-proven laryngeal nerve injury and permanent vocal fold paralysis following ultrasound-guided core biopsy of the thyroid. We advocate this complication be discussed as part of the consent process.

Keywords: core needle biopsy; fine-needle biopsy; laryngeal nerve injury; thyroid biopsy; thyroid nodule; vocal fold paralysis.

Source: PubMed

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