Paresis of the larynx after operations on the thyroid gland in an oncological clinic and methodological aspects of its relief

Introduction. Paresis and paralysis of the larynx are a fairly common complication after thyroid surgery found in all clinics (oncology endocrinology). The frequency this according to literature ranges from 4 35%. risk damage recurrent nerve increases especially during repeated operations on gland. According literature, postoperative transient persistent paresis is distinguished. Aim. To evaluate objective data state period, estimate time required for reversal laryngeal paresis, develop function recovery complex period. Materials methods . We analyzed 628 patients treated at clinic department head neck tumors 2020–2021. study included 47 (7.2%) who met selected criteria. Among them were 40 women 7 men. average age 51 years (43–60 years). duration disease averaged 62 months (24–102). In 38 patients, papillary cancer was detected, 1 – medullary, 8 follicular benign nature. Results Early detection occurred 42 patients. 52% (24 patients), hypocalcemia which stopped background drug administration. 3 fold mobility remained days 1–2 surgery, appeared 4–5. Speech therapy work includes phased set activities: 1) rational psychotherapy; 2) normalization physiological phonation respiration; 3) phonopedic exercises; 4) presence dysphagia, carried out restore swallowing. Conclusions. development possible even if integrity nerves preserved; use technique microsurgical neurolysis can significantly reduce larynx; with most often restored 1-3 months; an integrated approach rehabilitation category allows achieve improved functional results; bilateral larynx, as alternative tracheostomy, chordotomy using CO 2 laser be used.