Surgery of benign thyroid disease by ENT/head and neck surgeons and general surgeons: 233 cases of vocal fold paralysis in 3509 patients

2018 ◽  
Vol 275 (9) ◽  
pp. 2397-2402 ◽  
Author(s):  
B. Kohnen ◽  
C. Schürmeyer ◽  
T. H. Schürmeyer ◽  
P. Kress
2019 ◽  
Vol 98 (12) ◽  
pp. 838-839
Author(s):  
Amir Minovi

Kohnen B et al. Surgery of benign thyroid disease by ENT/head and neck surgeons and general surgeons: 233 cases of vocal fold paralysis in 3509 patients. Eur Arch Otorhinolaryngol 2018;275:2397–2402 In der Regel erfolgen Schilddrüsenoperationen durch Allgemeinchirurgen. In einer Untersuchung der Hals-Nasen-Ohren-Klinik des Klinikum Mutterhaus der Borromäerinnen wurden Sicherheit und Effizienz einer durch HNO- Kopf- und Hals-Chirurgen ausgeführten Schilddrüsenoperation analysiert, insbesondere im Hinblick auf das Auftreten von Stimmlippenlähmung (VFP).


Thyroid ◽  
2011 ◽  
Vol 21 (8) ◽  
pp. 867-872 ◽  
Author(s):  
Chen-Chi Wang ◽  
Ching-Ping Wang ◽  
Tung-Lung Tsai ◽  
Shi-An Liu ◽  
Shang-Heng Wu ◽  
...  

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 (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.


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.


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