scholarly journals Nerve Injury During Ultrasound-Guided Thyroid Biopsy—A First Reported Complication of Permanent Vocal Fold Paralysis

2020 ◽  
pp. 014556132090285 ◽  
Author(s):  
Lyndsay L. Madden ◽  
Moeko Nagatsuka ◽  
Azeem Z. Vasi ◽  
Jayesh Madrecha ◽  
Libby J. Smith
Keyword(s):  
Nerve Injury ◽  
Needle Biopsy ◽  
Vocal Fold ◽  
Thyroid Nodules ◽  
Ultrasound Guidance ◽  
Needle Aspiration ◽  
Vocal Fold Paralysis ◽  
Laryngeal Nerve ◽  
Ultrasound Guided ◽  
Laryngeal Nerve Injury

Needle biopsy is a well-established component in the evaluation of thyroid nodules. The biopsy is usually performed with an ultrasound guidance and consists of either fine-needle aspiration or core needle biopsy. Although these terms are often used interchangeably, their difference is important. To our knowledge, we discuss the first reported case of biopsy-proven laryngeal nerve injury and permanent vocal fold paralysis following ultrasound-guided core biopsy of the thyroid. We advocate this complication be discussed as part of the consent process.

Influence of Superior Laryngeal Nerve Injury on Glottal Configuration/Function of Thyroidectomy-Induced Unilateral Vocal Fold Paralysis

2014 ◽  
Vol 151 (6) ◽  
pp. 996-1002 ◽  
Author(s):  
Armando De Virgilio ◽  
Ming-Hong Chang ◽  
Rong-San Jiang ◽  
Ching-Ping Wang ◽  
Shang-Heng Wu ◽  
...  
Keyword(s):  
Nerve Injury ◽  
Vocal Fold ◽  
Superior Laryngeal Nerve ◽  
Vocal Fold Paralysis ◽  
Laryngeal Nerve ◽  
Unilateral Vocal Fold Paralysis ◽  
Laryngeal Nerve Injury

scholarly journals Extra-fascial hemithyreoidectomy

2007 ◽  
Vol 6 (2) ◽  
pp. 98-102
Author(s):  
D. I. Malinin ◽  
V. G. Petrov
Keyword(s):  
Thyroid Gland ◽  
Parathyroid Gland ◽  
Nerve Injury ◽  
Vocal Fold ◽  
Laryngeal Nerve ◽  
Recurrent Nerve ◽  
Surgical Results ◽  
Vocal Fold Paresis ◽  
Laryngeal Nerve Injury

The aim of the study was to improve surgical results of patients having thyroid gland pathology by the development of the surgery method directed to increasing possibility of injury and maintenance of the upper laryngeal nerve integrity. Method of performing extrafascial hemithyreoidectomy with visualization of recurrent nerve, parathyroid gland and upper thyroid artery is presented which is directed to decrease specific complications (vocal fold paresis, hypoparathyreosis) and complications associated with the upper laryngeal nerve injury. Using this method, 166 patients having node pathology of thyroid gland were operated on. This method resulted in decreased number of complications (from 15,0 to 2,6%).

Comparison of Ultrasound-Guided Fine-Needle Aspiration Biopsy with Core-Needle Biopsy in the Evaluation of Thyroid Nodules

2008 ◽  
Vol 14 (4) ◽  
pp. 426-431 ◽  
Author(s):  
Teck-Kim Khoo ◽  
Claire Baker ◽  
Julie Hallanger-Johnson ◽  
Andrea Tom ◽  
Clive Grant ◽  
...  
Keyword(s):  
Fine Needle Aspiration ◽  
Core Needle Biopsy ◽  
Needle Biopsy ◽  
Thyroid Nodules ◽  
Fine Needle Aspiration Biopsy ◽  
Needle Aspiration ◽  
Aspiration Biopsy ◽  
Ultrasound Guided ◽  
Core Needle ◽  
Fine Needle

Ultrasound‐guided needle biopsy of large thyroid nodules: Core needle biopsy yields more reliable results than fine needle aspiration

2019 ◽  
Vol 47 (5) ◽  
pp. 255-260 ◽  
Author(s):  
Hyeon Jin Lee ◽  
Young Joong Kim ◽  
Hye Yeon Han ◽  
Jae Young Seo ◽  
Cheol Mog Hwang ◽  
...  
Keyword(s):  
Fine Needle Aspiration ◽  
Core Needle Biopsy ◽  
Needle Biopsy ◽  
Thyroid Nodules ◽  
Needle Aspiration ◽  
Ultrasound Guided ◽  
Core Needle ◽  
Fine Needle

scholarly journals Automated Quantification of Vocal Fold Motion in a Recurrent Laryngeal Nerve Injury Mouse Model

2018 ◽  
Vol 129 (7) ◽  
pp. E247-E254 ◽  
Author(s):  
Megan M. Haney ◽  
Ali Hamad ◽  
Emily Leary ◽  
Filiz Bunyak ◽  
Teresa E. Lever
Keyword(s):  
Mouse Model ◽  
Recurrent Laryngeal Nerve ◽  
Nerve Injury ◽  
Vocal Fold ◽  
Recurrent Laryngeal Nerve Injury ◽  
Laryngeal Nerve ◽  
Automated Quantification ◽  
Laryngeal Nerve Injury ◽  
Vocal Fold Motion

scholarly journals Edge Segmentation Algorithm‐Based Prevention of Recurrent Laryngeal Nerve Injury in Treatment of Thyroid Nodules Using Ultrasound Images

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Jiyuan Wang ◽  
Hanqing Zou ◽  
Shaokun Sun ◽  
Wenqian Xu ◽  
Jie Jin
Keyword(s):  
Recurrent Laryngeal Nerve ◽  
Nerve Injury ◽  
Thyroid Nodules ◽  
Recurrent Laryngeal Nerve Injury ◽  
Laryngeal Nerve ◽  
The Other ◽  
Ultrasound Images ◽  
Postoperative Drainage ◽  
Laryngeal Nerve Injury ◽  
Snake Algorithm

The study was aimed to explore the segmentation effects of different algorithms on thyroid nodule ultrasound images, so as to better protect the recurrent laryngeal nerve during thyroid surgery. Specifically, 186 patients with thyroid nodules were selected as the research objects. The segmentation performances of the gradient vector flow (GVF) Snake, Watershed, and Snake algorithms were compared from 6 aspects of image segmentation effects, pixel accuracy (PA), Intersection over Union (IOU) value, algorithm running time, postoperative recurrent laryngeal nerve injury, intraoperative bleeding volume, and postoperative drainage volume. It was found that the average PA value (0.954) and the IOU value (0.866) of the GVF Snake algorithm were obviously higher than those of the other two algorithms. The total incidence of recurrent laryngeal nerve injury based on the GVF Snake algorithm (4.69%) was obviously lower than that of the Snake algorithm (19.35%) and the watershed algorithm (16.13%). The bleeding volume and postoperative drainage volume based on the GVF Snake algorithm were less versus the other two algorithms ( P < 0.05 ). In conclusion, the GVF Snake algorithm demonstrates ideal segmentation effects, which is suggested in the treatment of thyroid nodules to better protect the recurrent laryngeal nerve.

Development and characterisation of an experimental recurrent laryngeal nerve injury model for the study of viral gene therapy

2007 ◽  
Vol 122 (5) ◽  
pp. 500-505 ◽  
Author(s):  
K Fung ◽  
N D Hogikyan ◽  
S B Heavner ◽  
D Ekbom ◽  
E L Feldman
Keyword(s):  
Gene Therapy ◽  
Recurrent Laryngeal Nerve ◽  
Nerve Injury ◽  
Vocal Fold ◽  
Recurrent Laryngeal Nerve Injury ◽  
Laryngeal Nerve ◽  
Viral Gene ◽  
Viral Gene Therapy ◽  
Laryngeal Nerve Injury ◽  
The Mean

AbstractObjectives:To develop and characterise an experimental model of recurrent laryngeal nerve injury for the study of viral gene therapy.Methods:Twenty rats underwent unilateral recurrent laryngeal nerve injury. After vocal fold mobility was observed, larynges were serially sectioned, and immunohistochemical techniques were employed to stain for neurofilament and motor endplates in order for a blinded investigator to determine the percentage of nerve–endplate contact, as a histological indicator of an intact neuromuscular connection.Results:All animal procedures resulted in complete, ipsilateral vocal fold paralysis that recovered by three weeks. The mean nerve–endplate contact percentage was 11.6 per cent at one week, 53.9 per cent at two weeks, 88.6 per cent at three weeks, 81.7 per cent at four weeks and 86.6 per cent at five weeks. The differences between results at week one and week three were statistically significant (p < 0.01). The mean nerve–endplate contact percentage on the control side was 86.8 per cent.Conclusions:There was a dramatic, measurable decrease in nerve–endplate contact percentage following crush injury to the recurrent laryngeal nerve. Spontaneous recovery was observed by three weeks post-injury. This model will be used to investigate the potential therapeutic role of viral gene therapy for the treatment of recurrent laryngeal nerve injury.

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