Krani̇otomi̇ sonrasi vokal kord parali̇zi̇si̇

59 years old, 88 kg weight patient with ASA grade III, was planned craniotomy because of right corner serebellopontin tumor. Preoperative evaluation of patient, had hypertension for 13 years and diabetes for 5 years and were using ACE inhibitors and oral antidiabetic. Preoperative evaluation of blood sugar was 186 mg dL^-1, blood pressure (BP) 180/115 mmHg, respectively. Anesthesia induction was performed using thiopental intravenously (i.v.) (5 mg kg^-1). Isoflurane was used for the maintenance of anesthesia. After the mask ventilation the patient was intubated. The patient's head fixed with pin holder. Remifentanil (0.1^-1 mg kg^-1 h^-1) infusion and gliserol trinitrat (0.1^-1 mg kg ^-1 h^-1) infusion were administered. Blood pressure and pulse were within normal limits. Operation lasted for 7 hours 30 min. Any hemodynamic and respiratory complications were not observed. Immediately after surgery hoarseness and respiratory distress developed. Vocal cord paralysis (VCP) was determined. Urgent tracheostomy was performed and 7 days later the patient's tracheostomy closure performed. Patient was discharged after 10 days and 3 months after the voice tone has improved.