목적: Abstract: Vocal Cord Palsy Post-Thyroidectomy Causes, Presentation, and Management Vocal cord palsy (VCP) is a recognized complication following thyroidectomy, with a spectrum of severity ranging from transient dysfunction to permanent paralysis. The condition arises due to injury or traction on the recurrent laryngeal nerve (RLN). 방법: It can present as unilateral vocal cord palsy (UVCP) or bilateral vocal cord palsy (BVCP), each with distinct clinical implications and management approaches. 결과:Unilateral vocal cord palsy (UVCP) typically presents with dysphonia, breathy voice, and aspiration risk. Management strategies include voice therapy, injection laryngoplasty for temporary augmentation, type 1 thyroplasty for medialization, arytenoid adduction for improved glottic closure, and laryngeal reinnervation for long-term functional restoration. 결론:Bilateral vocal cord palsy (BVCP), often more severe, manifests as stridor and airway obstruction. Surgical treatment strategies include laser cordotomy, laser arytenoidectomy , tracheostomy, selective reinnervation and endoscopic vocal cord lateralization. Early diagnosis and multidisciplinary management is critical for optimizing outcomes, preserving voice quality, and ensuring airway safety in affected patients .