Patient had a right vocal cord paralysis unfortunately with her first surgery.

Now with left central neck recurrence on FNA, surgical consultant is concerned that attempt at repeat surgery risks a injury to the left recurrent laryngeal nerve, and that this would lead to a tracheostomy and permanent voice issues.
RFA is a alternative to this scenario , We are planning to use hydrodissection technique to inject cold D5W behind the mass in the TE groove to protect the nerve and then do radiofrequency ablation of this metastatic node with 0.5 cm active tip.

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