A 20yo pop star singer complains of inability to raise the pitch of her voice. She attributes this to
the thyroid surgery she underwent a few months back. What is the most likely dx?
a. Thyroid storm
b. Bilateral recurrent laryngeal nerve injury
c. Unilateral recurrent laryngeal nerve injury
d. External laryngeal nerve injury
e. Thyroid cyst
answer: D
Recurrent laryngeal nerve injury
-unilateral: hoarseness or asymptomatic due to compensation from the other side
-bilateral: aphonia, air way narrowing
External laryngeal nerve injury
- weakness of voice
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