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Fig. 7D. Complications from radiofrequency ablation of thoracic lesions and their management. This 78-year-old man with primary bronchogenic carcinoma adjacent to arch of aorta had three radiofrequency burns performed into tumor (T). One day after procedure patient became hoarse and had paralysis of left vocal cord. This was thought to be due to injury from ablation that affected recurrent laryngeal nerve. Hoarseness improved 6 weeks later, aided by Gelfoam (gelatin sponge, Upjohn) injection into vocal cord.