Laryngeal Nerve Paralysis and Benign Thyroid Disease

1967 ◽  
Vol 85 (3) ◽  
pp. 335-337 ◽  
Author(s):  
R. T. J. Holl-Allen
1994 ◽  
Vol 108 (5) ◽  
pp. 433-434 ◽  
Author(s):  
Tomasz Kręcicki ◽  
Tadeusz Łukiénczuk ◽  
Maria Zalesska-Kręcicka ◽  
Waldemar Balcerzak

AbstractA case of bilateral laryngeal nerve paralysis caused by a small goitre is reported. After thyroidectomy the return of vocal fold movements was observed. A review of the literature is presented. The possibility of acute airway distress caused by a slightly enlarged goitre is emphasized.


2013 ◽  
Vol 127 (8) ◽  
pp. 768-772 ◽  
Author(s):  
F O'Duffy ◽  
C Timon

AbstractBackground:The presentation of vocal fold palsy with associated goitre has historically been considered to be due to malignancy with recurrent laryngeal nerve involvement.Method:In total, 830 consecutive patients who underwent thyroid surgery were reviewed. Patients with vocal fold paralysis and thyroid disease were examined to determine the aetiology of the paralysis.Results:Nine patients were identified with new onset vocal fold paralysis prior to thyroid surgery. Six of the patients with recurrent laryngeal nerve paralysis had benign thyroid disease, and for three of the patients the paralysis was secondary to malignancy.Conclusion:Recurrent laryngeal nerve paralysis in the presence of thyroid disease is not pathognomonic for malignancy. The current literature may underestimate the association between vocal fold paralysis and benign thyroid disease. The paper also highlights the importance of recurrent laryngeal nerve preservation in patients who present with palsy and thyroid disease; the relief of benign compression often leads to complete recovery of recurrent laryngeal nerve paralysis.


1994 ◽  
Vol 108 (10) ◽  
pp. 878-880 ◽  
Author(s):  
J. E. Fenton ◽  
C. I. Timon ◽  
D. P. McShane

Abstract: A recurrent nerve palsy occurring in the presence of a goitre is considered to be caused by thyroid malignancy until proven otherwise.Three cases are described in which benign thyroid disease resulted in recurrent laryngeal nerve paralysis. Recent haemorrhage was implicated histologically as the possible aetiology in all three cases. The importance of identifying and preserving the recurrent laryngeal nerve in the surgical management is highlighted.


2019 ◽  
Vol 6 (8) ◽  
pp. 2682
Author(s):  
Ahmed S. Elgamaal ◽  
Asem Fayed ◽  
Mohammed A. Elbalshy ◽  
Mohamed M. Aziz

Background: Intracapsular total thyroidectomy is a rising new technique in management of benign thyroid disease seeking for safety. Our aim in this study is to evaluate safety and effectiveness of intracapsular technique in treatment of benign thyroid disease.Methods: this prospective study was carried out in department of general surgery, Menoufia University hospital and department of general surgery, Tala central hospital; from June 2018 to April 2019 on 58 patients with benign thyroid disease all had undergone intracapsular total thyroidectomy.Results: 58 patients underwent intracapsular total thyroidectomy. There was no recurrent laryngeal nerve injury either transient or permanent and no external laryngeal nerve injury. There was no parathyroid injury or hypoparathyriod complications.Conclusions: Intracapsular total thyroidectomy is a safe method in treatment of benign thyroid disease and can be done easily in central hospitals and non-highly specialized centres. 


Author(s):  
D Lenay-Pinon ◽  
A Biet-Hornstein ◽  
V Strunski ◽  
C Page

Abstract Objective To evaluate the circumstances in which recurrent laryngeal nerve palsy occurs after thyroid surgery. Methods This study assessed 1026 patients who underwent surgery for benign thyroid disease over a seven-year period in a retrospective, single-centre study. Results With a total of 1835 recurrent laryngeal nerves at risk, there were 38 cases (2.07 per cent) of transient recurrent laryngeal nerve palsy and 8 (0.44 per cent) of permanent recurrent laryngeal nerve palsy. No explanation was found for 10 of the 46 cases of recurrent laryngeal nerve palsy. Among the 38 other cases, the probable causes included poor identification of the recurrent laryngeal nerve during surgery, involuntary resection of the nerve and several other factors. Conclusion Apart from accidental resection of the recurrent laryngeal nerve during thyroid surgery, the causes of post-operative recurrent laryngeal nerve palsy are often unclear and likely multifactorial. Poor identification of the recurrent laryngeal nerve during surgery is still the main cause of post-operative recurrent laryngeal nerve palsy, even when intra-operative neuromonitoring is used.


2002 ◽  
Vol 53 (2) ◽  
pp. 107-112 ◽  
Author(s):  
Eiji Yumoto ◽  
Koji Nakano ◽  
Tetsuya Nakamoto ◽  
Takahiko Yamagata

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