Importance of Intraoperative Neuromonitoring Parameters in Predicting Temporary Recurrent Laryngeal Nerve Palsy Following Thyroid Surgery for Malignancy

Author(s):  
Parthiban Velayutham ◽  
Shivakumar Thiagarajan ◽  
Christina Daniel ◽  
Manali Shaikh ◽  
Adhara Chakraborthy ◽  
...  
2007 ◽  
Vol 32 (1) ◽  
pp. 32-37 ◽  
Author(s):  
Y. Erbil ◽  
U. Barbaros ◽  
H. İşsever ◽  
İ. Borucu ◽  
A. Salmaslıoğlu ◽  
...  

2017 ◽  
Vol 6 (2) ◽  
pp. 15-19
Author(s):  
Md Mostafizur Rahman ◽  
SM Golam Rabbani ◽  
Md Abdur Rashid ◽  
M Alamgir Chowdhury ◽  
Fatema Nihar ◽  
...  

Background: To find out the incidence and types of complications after thyroidectomy.To analyze the factors related to the complications of thyroid surgery.Material and method: The study was carried out at Shahid Suhrawardy medical college and Hospital, Dhaka from July 2007 to June 2008. Fifty patients were selected for the study who were treated by thyroidectomy. The mean patient's age at the time of surgery was 41.9±8.1 years ranged from 10 to 60 years. Data were collected in a prescribed data collection sheet. Then all data were compiled and analyzed.Result: 12% of the patients had transient hypoparathyroidism, 4% had haemorrhage, 2% had permanent hypoparathyroidism, 4% had temporary recurrent laryngeal nerve (RLN) palsy and 2% had permanent recurrent laryngeal nerve palsy. Other rare complications were superior laryngeal nerve palsy, hematoma, and wound infection.Conclusion: Improved surgical techniques and proper management of complications reduce the postoperative morbidity and mortality of thyroid surgery. In spite of all measures, keen observation in postoperative period is very important to find out the complications for early intervention.Anwer Khan Modern Medical College Journal Vol. 6, No. 2: July 2015, P 15-19


2019 ◽  
Vol 2 (1) ◽  
pp. 25-33
Author(s):  
Niranjan Panthi ◽  
S T Chettri ◽  
S P Shah ◽  
D Poudel ◽  
S Manandhar ◽  
...  

Background: Thyroid surgery is one of the commonest surgeries performed by otolaryngologists. Currently, the main postoperative complications are hypocalcemia and recurrent laryngeal nerve (RLN) palsy. Extent of surgery, lack of identification of RLN/ parathyroid glands, malignancy, central compartment neck dissection, lateral neck dissection, previous surgery and size of goiter are the risk factors for complications. The objectives of this study were to determine the frequency of postoperative complications after thyroid surgery and to analyze the risk factors of complications. Methods: It was a prospective study of 45 patients undergoing thyroid surgery in eastern Nepal from March 2014 to September 2015. The postoperative complications and the risk factors associated with these complications were evaluated. Results: There were total of 45 cases of thyroid surgery, with the mean age of 39.04 years. The main postoperative complications were: hypocalcaemia (6 or 13.33% cases) and vocal cord palsy due to recurrent laryngeal nerve injury (5 or 11.11% cases). Temporary hypocalcaemia was observed in 3(6.67%) cases while permanent hypocalcaemia developed in other 3 (6.67%) cases. Similarly, the temporary and permanent recurrent laryngeal nerve palsy occurred in 3 (6.67%) cases and 2 (4.44%)cases respectively. The risk factors associated with hypocalcaemia were: malignancy, repeat operation, central compartment neck dissection and non-identification of parathyroid glands during surgery. Similarly, recurrent laryngeal nerve palsy was observed in cases of malignancy and central compartment neck dissection. Conclusion: The major postoperative complications of thyroid surgery were hypocalcaemia and recurrent laryngeal nerve palsy. Malignancy and central compartment neck dissection had effect on incidence of complications. Sound knowledge of anatomy and meticulous surgical technique are needed to reduce the incidence of complications.


2013 ◽  
Vol 139 (5) ◽  
pp. 471 ◽  
Author(s):  
Mario Schietroma ◽  
Emanuela Marina Cecilia ◽  
Francesco Carlei ◽  
Federico Sista ◽  
Giuseppe De Santis ◽  
...  

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