Re: Paralyzed cord post ACDF
just what has your surgeon said about this? just what was the severity of the spinal issues that required that surgery? if you happen to actually have a copy of your own MRI report that was done pre op, and could simply type out the actual summary word for word as the interpretting rad saw it, that would help alot.
there just could be a few different reasons as to why your vocal chords became this way, some would have to do with real actual spinal damage and the others could just have occured during the intubation or even extubation process too? one big thing i would do here if you have not yet done so is to actually obtain EVERY single scrap of paper(all and any actual medical records contained in whats called your 'central medical file") generated from this surgery from the hospital where this was done? you very MUCH need to read and see ANY notes made by the anesthesiologist(make certain to specifically ask for any of 'those' records) who would have been the one to actually do that intubation on you? if ANYTHING went wrong there with THAT process, even if he "chose' the wrong sized tube, it could have impacted the vocal chords. or he could have hit them and possibly only 'stunned" them too kind of thing? during that intubation process, anyone who is intubating looks for and HAS to actually visualize the chords so they can simply slide that tube in between them, and down the throat? so possibly 'hitting/injuring or stunning' them is a real possibility here too that you need to check out. this could just be some type of prolonged 'pressure' on the chords type injury too? its really hard to say. but i would also see just how much real overall experience your anesthesiologist actually had here too? only becasue like any other skill we have to learn, intubating a patient properly just IS a learned skill that with repetition and expeience gets better along the way?
while feeling somewhat "hourse" post op would be expected, what you actually have going on there really sounds like some level of actual damage going on somewhere. the key here is kind of tracking it back to that real "cause". and the more 'likely' would just be the intubation process at the very beginning. this really IS the only time where there just is any real direct contact with those vocal chords at all. with the extubation also an issue too depending.
when you obtain all those records, also make certain you ask for the 'op notes' that get made by the NS? its kind of a transcript of the surgery itself? some info has to be in those notes, but in more in depth stuff does not for some reason always have to be there. do you know whether or not you actually had whats called intra operative monitoring done during this surgery? if this required any real close direct contact with your spinal cord(if you had ANY real cord compression going on pre op) your surgeon probably would have ordered this? they would have placed little electrode pads like down on the legs too not just the on your chest heart monitoring? if you did have this, make certain to ask for those op notes too since anything that may have been 'hit' within that cordspace would have shown itself on the monitor and would also be in the monitoring docs op notes.
it would not hurt here either to also obtain ANY follow up visit clinic notes from your NS too. they have to make notes after every visit with any patient, all docs? but there may possibly be something in HIS follow ups with you that he would have to have written down about a post op symptoms such as yours, and also give his 'impressions' about too? just another possible source of real info to obtain. like i mentioned above, there realistically can only be two real sources for this to have actually occured. the intubation process, or that tube itself causeing compression damage just lying too long if that tube also was simply too big for YOUR size in there even, or some level of actual nerve damage that just happens to correlate with the chords. but the intubation sounds much much more likely to me just given what that whole process entails?
can you actually speak at all at this point or nothing at all? has this gotten ANY better at all over time or has this pretty much stayed the way it was immediately post op? knowing what your NS has said about this would really be interesting to know. seeing an ENT specialist could possibly really help you in at least figuring out where and how this real damage occured. you just will probably not get a real honest opinion from anyone actually connected to that surgery so seeing someone in a more 'neutral" territory would be the very best thing in finding the answers and possible treatment options too? sorry you are having to deal with this at all. i hope you at least have 'some' level of voice left? marcia
11-20-01,placement of hardware for failed fusion
9-22-03,removal of cavernous hemangioma that was inside spinal cord. Neuro damage to L hand L leg and R leg.