Phrenic Nerve damage and paralyzed diaphragm: Anyone else have this?

Posted by jgreg1954 @jgreg1954, Nov 28, 2017

Phrenic nerve on the right side was destroyed due to radiation for breast cancer. Diaphragm is now paralyzed & taking away lung capacity. Anyone else experience this?

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Profile picture for sonshine161 @sonshine161

My doctor said it was my recurrent nerve which ties into the Vagus nerve.

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My daughter had the same surgery and lost her voice. It has come back some but we are still waiting. She has also had abdominal pain and nausea since the surgery. All tests and labs are normal. Did you have any persistent abdominal pain after your pneumonectomy?

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@dondon1 Another patient shared this information about a surgeon, Dr. Kaufman, who does a nerve graft to replace a damaged phrenic nerve for a paralyzed diaphragm. Here is a link to his practice and a paper he authored. I don't have experience with this, but wanted to pass along the information.
https://www.advancedreconstruction.com/find-care/surgeons/matthew-kaufman-md-facs-physician
"Phrenic nerve paralysis and phrenic nerve reconstruction surgery "
https://pubmed.ncbi.nlm.nih.gov/36031309/

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Profile picture for giller198 @giller198

I was diagnosed with a paralyzed right diaphragm back in January. I also have shortness of breath especially when I swim. I had open heart surgery back in September of 2016 and my heart doctor has ruled out phrenic nerve damage because of the time between the heart surgery and when this started. The doctors think I injured the diaphragm somehow and if I did I never had any pain or any other symptom. Has anyone read or had a surgical procedure that can be done to pull the diaphragm away from the lung?

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yes in Nov 2018 brain decompromission , and now in June 2023, I have left side paralyzed diaphragm and I am in the hospital constantly without prednisone I can't breath it is horrible. Doctors want to tack the diagram but I want someone to look at the nerve and put the device in. Not sure why so many doctors are scared of this procedure. This is a horrible quality of life in my case.

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Profile picture for vic83 @vic83

Thanks for the info ...that helps

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My doctor said it was my recurrent nerve which ties into the Vagus nerve.

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Profile picture for sonshine161 @sonshine161

I think he told me after. My voice was hoarse and i couldn’t get more than three or four words out without stopping to take a breath. It was weak. I spoke to a voice and swallowing clinic at Oregon Health and Science where i live. They offered me different temporary treatments which didn’t last more than several days. I opted to have an implant but my voice started to get better a month before the surgery. At first i couldn’t tell the difference but more and more friends told me my voice was getting better. It’s pretty much normal now. I know what you’re going through, it’s awful.

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Thanks for the info ...that helps

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Profile picture for sonshine161 @sonshine161

I think he told me after. My voice was hoarse and i couldn’t get more than three or four words out without stopping to take a breath. It was weak. I spoke to a voice and swallowing clinic at Oregon Health and Science where i live. They offered me different temporary treatments which didn’t last more than several days. I opted to have an implant but my voice started to get better a month before the surgery. At first i couldn’t tell the difference but more and more friends told me my voice was getting better. It’s pretty much normal now. I know what you’re going through, it’s awful.

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It took about four or five months to get better and I’ve heard some have to wait a year.

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Profile picture for vic83 @vic83

Thanks for your prompt reply. Did your surgeon tell you up front or after?
Was it as I describe? I can only whisper in measured words. But my throat is not sore. I am not talking much but it is not getting better.
Living without a voice can be a real handicap. I am happy you got yours back. Is it normal?

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I think he told me after. My voice was hoarse and i couldn’t get more than three or four words out without stopping to take a breath. It was weak. I spoke to a voice and swallowing clinic at Oregon Health and Science where i live. They offered me different temporary treatments which didn’t last more than several days. I opted to have an implant but my voice started to get better a month before the surgery. At first i couldn’t tell the difference but more and more friends told me my voice was getting better. It’s pretty much normal now. I know what you’re going through, it’s awful.

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Profile picture for sonshine161 @sonshine161

I had apneumonectomy in November. My surgeon said he had to sacrifice my vocal cord. I was scheduled to get a surgical implant to fix my voice but it came back in its own After 5 months. Thank God. Living without a voice is hell. Maybe you’ll catch a break.

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Thanks for your prompt reply. Did your surgeon tell you up front or after?
Was it as I describe? I can only whisper in measured words. But my throat is not sore. I am not talking much but it is not getting better.
Living without a voice can be a real handicap. I am happy you got yours back. Is it normal?

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Profile picture for vic83 @vic83

How do you know your phrenic nerve was damaged? Did they test and tell you?
I had video assisted thoracic surgery for lung cancer 3 days ago and I lost my voice immediately. I have no volume and can only speak in a whisper and it is hoarse. I have never lost my voice before. I asked the attending surgeon of the day who only replied she was not worried but offered no information on it, or how long it would take for my voice to get back to normal. I live alone and it is now hard for me to communicate with others on the phone.

Jump to this post

I had apneumonectomy in November. My surgeon said he had to sacrifice my vocal cord. I was scheduled to get a surgical implant to fix my voice but it came back in its own After 5 months. Thank God. Living without a voice is hell. Maybe you’ll catch a break.

REPLY
Profile picture for sonshine161 @sonshine161

My phrenic nerve damage is the result of a pneumonectomy last week. My voice is hoarse and weak. After i recover from the surgery, I’ll explore ENTs and try and find someone who has experience in this area. I live in the Pacific NW but I’ll travel if i get a recommendation of a great doc somewhere.

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How do you know your phrenic nerve was damaged? Did they test and tell you?
I had video assisted thoracic surgery for lung cancer 3 days ago and I lost my voice immediately. I have no volume and can only speak in a whisper and it is hoarse. I have never lost my voice before. I asked the attending surgeon of the day who only replied she was not worried but offered no information on it, or how long it would take for my voice to get back to normal. I live alone and it is now hard for me to communicate with others on the phone.

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