RLN Palsy  

RF 

Right side approach 

Revision 

Anterior C5 

Multilevel 

OR time 

Prolonged retractor in the tracheoesphageal junction 

Signs and Symptoms 

  • Aspiration 
  • Dysphasia 
  • Dysphonia 

Management 

  • Observation 
  • SLP consult 
  • Thickened fluid diet 
  • 6 weeks no improvement – ENT consult  
    • Teflon injections to vocal cords 
  • Revision 
    • Confirm palsy from ENT consult preop 
    • If so, use that side for revision