Recurrent laryngeal nerve injury after thyroid surgery with routine identification of the recurrent laryngeal nerve
Other Title(s)
إصابة العصب الحنجري المتكررة بعد جراحة الغدة الدرقية مع التحديد الروتيني للعصب الحنجري الراجع
Joint Authors
al-shalah, Muhannad A. N.
Kazim, Muhsin Nayif
Aouda, Husayn
Source
Issue
Vol. 7, Issue 1-2 (30 Jun. 2010), pp.140-147, 8 p.
Publisher
University of Babylon College of Medicine
Publication Date
2010-06-30
Country of Publication
Iraq
No. of Pages
8
Main Subjects
Topics
Abstract AR
الهدف من هذه الدراسة هو تقييم المخاطر من شلل العصب الحنجري المتكرر (RLNP) بعد جراحة الغدة الدرقية مع التحديد الروتيني للعصب (RLN) داخل العملية.
و قد شملت الدراسة 379 مريضا أجريت لهم عمليات لاستئصال الغدة الدرقية عن طريق ثلاثة جراحين، و قد صنف المرضى إلى أربعة مجاميع و هي العملية الأولية لمرض الغدة الدرقية الحميدة، و سرطان الغدة الدرقية، مرض الكريفز و الغجة الراجعة، و قد تم تحليل الإصابة بشلل العصب الحنجري الراجع بالنسبة للتصنيف أعلاه.
Abstract EN
Objective : the aim of this study is to evaluate the risk of recurrent laryngeal nerve palsy (RLNP) after thyroid surgery with routine identification of the recurrent laryngeal nerve (RLN) intra operatively.
Patients and Methods: our study involved 379 patients who underwent 151 Near Total Thyroidectomy, 107 Sub Total Thyroidectomy, 82 total lobectomies and 39 total thyroidectomies, treated by three surgeons.
Individually temporary and permanent RLNP rates were analyzed for patient groups which more classified into primary operation for benign thyroid disease, Thyroid cancer, Graves' disease, and reoperation.
Two RLNs in 12 thyroid cancer patients already invaded were excluded from analysis.
Results : three patients developed RLNP postoperatively.
Complete recovery of RLN function was documented for all (100 %) of these cases whose RLN integrity had been ensured intraoperatively.
Recovery from temporary RLNP was insured within 4 weeks to 3 months (mean2months).
Overall rate of temporary and permanent RLNP was 0.795 % and 0.00%, respectively.
The rates of temporary RLNP were 10%, 5.26%, 1.2% and 0.0% for groups classified according to thyroid cancer, reoperation, Graves' disease and benign thyroid disease, respectively.
Conclusions : Thyroidectomy is a routine and safe surgical procedure with a low morbidity and negligible mortality when performed by trained surgeons and most of the complications of thyroidectomy may be avoided by careful surgical technique.
Significantly higher RLNP rates were demonstrated after operations for thyroid cancer, recurrent goiter and Graves' disease.
Total lobectomy with routine identification of the RLN is quite safe and we suggest considering it as a basic procedure in a thyroid operation.
American Psychological Association (APA)
al-shalah, Muhannad A. N.& Aouda, Husayn& Kazim, Muhsin Nayif. 2010. Recurrent laryngeal nerve injury after thyroid surgery with routine identification of the recurrent laryngeal nerve. Medical Journal of Babylon،Vol. 7, no. 1-2, pp.140-147.
https://search.emarefa.net/detail/BIM-242038
Modern Language Association (MLA)
al-shalah, Muhannad A. N.…[et al.]. Recurrent laryngeal nerve injury after thyroid surgery with routine identification of the recurrent laryngeal nerve. Medical Journal of Babylon Vol. 7, no. 1-2 (2010), pp.140-147.
https://search.emarefa.net/detail/BIM-242038
American Medical Association (AMA)
al-shalah, Muhannad A. N.& Aouda, Husayn& Kazim, Muhsin Nayif. Recurrent laryngeal nerve injury after thyroid surgery with routine identification of the recurrent laryngeal nerve. Medical Journal of Babylon. 2010. Vol. 7, no. 1-2, pp.140-147.
https://search.emarefa.net/detail/BIM-242038
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 145-147
Record ID
BIM-242038