title: Vocal cord paralysis in a fighter pilot.
abstract: We present in this case report the return to flying duty of a pilot with vocal cord paralysis secondary to removal of a thymoma. We discuss the importance of glottic function as it pertains to the unique aviation environment. We also discuss the anatomy and physiology of the glottis, the evaluation for vocal cord paralysis, and surgical approaches for paralyzed vocal cords. Although the incidence of recurrent laryngeal nerve paralysis is low in the military aviation community, it is important to recognize that its sequelae can be managed so that the aviator may return to flight duties.
authors.affiliation: Department of Otolaryngology, Wilford Hall Medical Center, Lackland Air Force Base, TX 78236-5550, USA. Stephen.Maturo@lackland.af.mil
authors.forename: Stephen
authors.initials: S
authors.lastname: Maturo
authors.forename: Joseph
authors.initials: J
authors.lastname: Brennan
mesh_terms: D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D006685:Hoarseness / Q000209:etiology; D006801:Humans; D007431:Intraoperative Complications; D061224:Laryngeal Nerve Injuries; D008297:Male; D008875:Middle Aged; D008889:Military Personnel; D020360:Neoadjuvant Therapy; D011138:Polytetrafluoroethylene; D019736:Prostheses and Implants; D013945:Thymoma / Q000628:therapy*; D013953:Thymus Neoplasms / Q000628:therapy*; D013957:Thyroid Cartilage / Q000601:surgery; D014826:Vocal Cord Paralysis / Q000209:etiology* / Q000601:surgery*; D014833:Voice Quality
chemical_list: D011138:Polytetrafluoroethylene