{'fraction_non_alphanumeric': 0.01171875, 'fraction_numerical': 0.0, 'mean_word_length': 5.2560975609756095, 'pattern_counts': {'":': 0, '<': 0, '<?xml version=': 0, '>': 0, 'https://': 0, 'lorem ipsum': 0, 'www.': 0, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 0, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
Bilateral vocal cord paralysis after radical cystectomy in a patient with a history of bulbar polio.

A patient undergoing a radical cystectomy for bladder cancer developed an acute, postopera tive bilateral vocal cord paralysis. This was due to a preexisting, unrecognized right vocal cord paralysis from bulbar polio and a new left vocal cord paralysis from intraoperative injury to the left recurrent laryngeal nerve. This case illustrates the need to evaluate laryngeal function in postbulbar polio patients.