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Data and Clinical Issues

Paul C. Holinger, MD, MPH; Lauren D. Holinger, MD; Josephine Seibel, MD; Susan W. Holinger, RN; Paul H. Holinger, MD

Arch Otolaryngol. 1981;107(1):33-36.

Abstract
• The nature and cause of psychiatric symptoms associated with the postthyroidectomy bilateral abductor vocal cord paralysis (BAVCP) syndrome are analyzed. The postthyroidectomy BAVCP syndrome is characterized by normal voice, airway obstruction, hypothyroidism, hypoparathyroidism, and psychiatric manifestations. Forty-five (35.2%) of 128 patients with postthyroidectomy BAVCP syndrome had psychiatric manifestations of some kind. The following four categories of psychiatric problems were found: (1) preexisting psychiatric symptoms exacerbated by the postthyroidectomy BAVCP syndrome, (2) psychiatric symptoms initiated by the syndrome, (3) psychiatric symptoms that were etiologically distinct from the syndrome, and (4) misdiagnosis. The variety of psychiatric symptoms, as well as the difficulty in determining the cause of the symptoms, makes it essential that surgeons, internists, and psychiatrists cooperate in the treatment of patients with the postthyroidectomy BAVCP syndrome.

(Arch Otolaryngol 107:33-36, 1981)

Author Affiliations
From the Institute for Psychosomatic and Psychiatric Research and Training, Michael Reese Hospital and Medical Center, Chicago (Dr P. C. Holinger); the Departments of Otolaryngology and Bronchoesophagology, Rush-Presbyterian-St Luke's Medical Center, and University of Illinois Eye and Ear Infirmary, Chicago (Dr L. D. Holinger); the Case Western Reserve Hospitals, Cleveland (Dr Seibel); and the Horizon Hospice, Chicago (Ms S. Holinger). This study was done in part at the Harvard University School of Public Health, Boston (Dr P. C. Holinger).

Footnotes
Accepted for publication March 3, 1980.

Dr P. H. Holinger died March 26, 1978.

Reprint requests to Institute for Psychosomatic and Psychiatric Research and Training, Michael Reese Hospital and Medical Center, 2959 S Cottage Grove, Chicago, IL 60616 (Dr P. C. Holinger).

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