title: [Bilateral vocal cord paresis after total thyroidectomy].
abstract: A 66-year-old female patient complained of hoarseness and dyspnea under exertion following total thyroidectomy. Due to a faulty operating technique both nerves to the vocal cords were damaged. From the operation report it emerged that the dissection was carried out by protecting the border lamellae but the recurrent laryngeal nerve could not be found on both sides. This article presents the external expert opinion, the decision of the arbitration board and the assessment of the case by two specialist physicians.
authors.affiliation: Universitätsklinik für Allgemein-, Viszeral- und Gefäßchirurgie, Medizinische Fakultät, Universitätsklinikum Halle (Saale), Ernst-Grube-Straße 40, 06097, Halle (Saale), Deutschland. henning.dralle@uk-halle.de.
authors.forename: H
authors.initials: H
authors.lastname: Dralle
authors.affiliation: Kanzlei SWRJ, Hannover, Deutschland.
authors.forename: J
authors.initials: J
authors.lastname: Neu
authors.affiliation: Klinik für Allgemein-, Viszeral- und Transplantationschirurgie, Universitätsmedizin der Johannes Gutenberg-Universität Mainz, Langenbeckstraße 1, 55131, Mainz, Deutschland. Musholt@uni-mainz.de.
authors.forename: T J
authors.initials: TJ
authors.lastname: Musholt
authors.affiliation: Klinik für Allgemein- und Viszeralchirurgie, Niels-Stensen-Kliniken, Marienhospital Osnabrück GmbH, Bischofsstraße 1, 49074, Osnabrück, Deutschland. christoph.nies@mho.de.
authors.forename: C
authors.initials: C
authors.lastname: Nies
mesh_terms: D000368:Aged; D035881:Compensation and Redress / Q000331:legislation & jurisprudence; D005260:Female; D005858:Germany; D006044:Goiter, Nodular / Q000601:surgery*; D019983:Guideline Adherence / Q000331:legislation & jurisprudence; D006801:Humans; D007431:Intraoperative Complications / Q000175:diagnosis* / Q000209:etiology*; D064795:Intraoperative Neurophysiological Monitoring; D008318:Malpractice / Q000331:legislation & jurisprudence*; D011183:Postoperative Complications / Q000175:diagnosis* / Q000209:etiology*; D061226:Recurrent Laryngeal Nerve Injuries / Q000175:diagnosis* / Q000209:etiology*; D013965:Thyroidectomy; D014826:Vocal Cord Paralysis / Q000175:diagnosis* / Q000209:etiology*; D014827:Vocal Cords / Q000294:innervation*
keywords: Capsular dissection; Guidelines; Intraoperative; Neurophysiological monitoring; Nodular goiter