797 Short-Term Review of the Presentations and Outcomes of Vocal Fold Palsy Cases Identified at a Large DGH

Abstract Aim Due to the convoluted course of recurrent laryngeal nerves, vocal cord palsy can be a manifestation pathologies that cross multiple surgical and medical specialties. The primary role folds is airway protection. Therefore, it important all relevant clinicians understand this clinical scenario in order prevent aspiration pneumonia their patients. Method We reviewed eight months referrals diagnoses patients with paresis or palsy. This was setting tertiary Head & Neck service within large DGH. assessed aetiology, management, outcome these cases. Results Eleven new cases were identified over months. One due intrathoracic vascular pathology; one breast cancer; two from head neck bilateral upper-GI cancer surgery; four thyroid-related lung idiopathic. To date, ten eleven appear permanent nature. patient underwent in-clinic injection laryngoplasty. Two (18%) died six diagnosis, both predictable deaths based on baseline pathology. Conclusions Our experience demonstrated relevance ENT (Head Neck), Vascular, Breast, Upper-GI Thoracic surgeons as well colleagues Endocrinology, Respiratory Medicine, Rheumatology. present diagnostic management strategies help trainees across specialties identify, manage, refer complication, improve quality life provide access relatively novel procedures such awake (local anaesthetic)