Assessment of recurrent laryngeal nerve injury due to thyroid surgery in gorgan medical centers

Total Thyroidectomy ◽

Nerve Injury ◽

Thyroid Surgery ◽

Demographic Data ◽

Laryngeal Nerve ◽

Statistical Population ◽

Laryngeal Nerve Injury ◽

Type Of Surgery

Introduction: Thyroid surgery is one of the most common surgeries performed on the neck. There is a possibility of nerve injury and vocal cord paralysis due to the close anatomical relationship between recurrent laryngeal nerve and thyroid. Considering the importance of this study, it was performed to determine nerve damage during thyroid surgery. Methods: This cross-sectional descriptive study was conducted on patients undergoing thyroidectomy at Gorgan University of Medical Sciences, Golestan Province, Iran, from 2016-2017. After providing a list of patients, their files were obtained. The demographic data relating to the type of surgery, type of pathology, and condition of the larynx after surgery were recorded. The patients were asked for a re-examination (if necessary), and the current condition of their larynx was determined. The collected data were recorded and analyzed in SPSS software (version 16). Results: The statistical population of this study consisted of 195 patients, among which 12.3% were male (24 cases), and 87.7% were female (171 patients). The type of surgery in 65.6% (n=128), 28.7% (n=56), and 5.6% (n=11) cases was thyroidectomy, hemithyroidectomy, and subtotal thyroidectomy, respectively. It was revealed that the most common pathology was papillary carcinoma. In terms of complications, there were two cases of laryngeal nerve injury, which persisted in only one case of unilateral paralysis. The type of surgery in both cases was total thyroidectomy. Conclusions: Although recurrent laryngeal nerve injury is not common, in cases of total thyroidectomy, greater care should be taken to preserve the nerve.

Faculty Opinions recommendation of Postoperative laryngoscopy in thyroid surgery: proper timing to detect recurrent laryngeal nerve injury.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.4517960.4376061 ◽

2010 ◽

Author(s):

Gerhard Friedrich ◽

Georg Hammer

Keyword(s):

Nerve Injury ◽

Thyroid Surgery ◽

Laryngeal Nerve ◽

Proper Timing ◽

Laryngeal Nerve Injury

Recurrent laryngeal nerve injury in thyroid surgery: a review

ANZ Journal of Surgery ◽

10.1111/j.1445-2197.2012.06247.x ◽

2012 ◽

Vol 83 (1-2) ◽

pp. 15-21 ◽

Cited By ~ 89

Author(s):

Nathan James Hayward ◽

Simon Grodski ◽

Meei Yeung ◽

William R. Johnson ◽

Jonathan Serpell

Keyword(s):

Nerve Injury ◽

Thyroid Surgery ◽

Laryngeal Nerve ◽

Laryngeal Nerve Injury

A current view on recurrent laryngeal nerve injury in total thyroidectomy

Medicina Moderna - Modern Medicine ◽

10.31689/rmm.2021.28.1.7 ◽

2021 ◽

Vol 28 (1) ◽

pp. 7-12

Author(s):

Lucian ALECU ◽

◽

Iulian SLAVU ◽

Adrian TULIN ◽

Vlad BRAGA ◽

...

Keyword(s):

Total Thyroidectomy ◽

Nerve Injury ◽

Unintentional Injury ◽

Laryngeal Nerve ◽

Current View ◽

Pubmed Database ◽

Laryngeal Nerve Injury ◽

The Moment

Introduction: Recurrent laryngeal nerve damage during total thyroidectomy was, is, and probably will be in the near future the Achilles’ heel of total thyroidectomy. Material and method: To perform the research we used the PubMed database. The questions were conceived to respect the PICOS guidelines. The PRISMA checklist was used to filter the results. The search was structured following the words: „recurrent laryngeal nerve injury” AND „total thyroidectomy”. Results: A total of 60 papers were identified. We excluded 12 papers as they were duplicates. From the 48 papers left, another 4 could not be obtained. Another 3 papers from the 44 left were excluded due to the fact they were not written in English. One paper was excluded as the subject did not follow our research purpose. 40 papers were left for analysis and discussion. Conclusion: To prevent recurrent laryngeal nerve lesions, at the moment in the literature there is no consensus. Unintentional injury to the recurrent laryngeal nerve is predictable but not an avertible situation thus bilateral lesions still represent a dramatic situation across the world for the patients and the operating surgeon.

Intraoperative neuromonitoring versus visual nerve identification for prevention of recurrent laryngeal nerve injury in adults undergoing thyroid surgery

Cochrane Database of Systematic Reviews ◽

10.1002/14651858.cd012483.pub2 ◽

2019 ◽

Cited By ~ 8

Author(s):

Roberto Cirocchi ◽

Alberto Arezzo ◽

Vito D'Andrea ◽

Iosief Abraha ◽

Georgi I Popivanov ◽

...

Keyword(s):

Nerve Injury ◽

Thyroid Surgery ◽

Intraoperative Neuromonitoring ◽

Laryngeal Nerve ◽

Laryngeal Nerve Injury ◽

Nerve Identification

Importance of Identifying the Course of the Recurrent Laryngeal Nerve in Total and Near-Total Thyroid Lobectomies

The American Surgeon ◽

10.1177/000313480507100310 ◽

2005 ◽

Vol 71 (3) ◽

pp. 225-227

Author(s):

Zeki Acun ◽

Fikret Cinar ◽

Alper Cihan ◽

Suat Can Ulukent ◽

Lokman Uzun ◽

...

Keyword(s):

Total Thyroidectomy ◽

Nerve Injury ◽

Nerve Palsy ◽

Recurrent Laryngeal Nerve Palsy ◽

Laryngeal Nerve ◽

Thyroid Diseases ◽

Thyroid Lobectomy ◽

Laryngeal Nerve Injury

In our clinic, near-total thyroidectomy is the principal surgical procedure performed for benign thyroid diseases. We conducted a single-institution study on 176 consecutive patients who underwent near-total thyroidectomy due to various thyroid diseases. We compared the incidence of recurrent laryngeal nerve injury between total and near-total thyroid lobectomy sides in each patient. Our hypothesis was that the incidence of recurrent laryngeal nerve injury after total thyroid lobectomy would be similar to that of near-total thyroid lobectomy when the course of the recurrent laryngeal nerve was identified during surgery. The temporary recurrent laryngeal nerve palsy rates on the total and near-total thyroid lobectomy sides were 3.9 per cent (7 of 176 nerves) and 2.2 per cent (4 of 176 nerves), respectively. The difference was not statistically significant. Permanent recurrent laryngeal nerve palsy did not occur in any of our patients. In conclusion, the incidence of recurrent laryngeal nerve injury in total versus near-total thyroid lobectomy is not different when the course of the recurrent laryngeal nerve is identified during surgery.