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[Prevention of recurrent laryngeal nerve paralysis by demonstration of the nerve during thyroid surgery].
Laryngorhinootologie. 2005 Apr; 84(4):261-5.L

Abstract

INTRODUCTION

Recurrent laryngeal nerve paralysis is one of the major complications of thyroid surgery. The importance of dissection and exploration of the recurrent laryngeal nerve during thyroid surgery remains controversial.

METHODS

74 thyroid gland operations with obligatory dissection and exploration of the recurrent laryngeal nerve were analysed.

RESULTS

118 recurrent laryngeal nerves were explorated in these operations. Transitory postoperative vocal cord paralysis was observed in 4 patients. In one patient vocal cord paralysis was permanent. This results in a transitory vocal cord paralysis rate of 3.4 % and a permanent vocal cord paralysis rate of 0.85 %.

DISCUSSION

Our results and the literature review indicate that dissection and visualization of the recurrent laryngeal nerve can reduce the risk of permanent paralysis to a minimum. Obviously mechanical trauma like compression and crushing due to dissection do not increase incidence of permanent nerval disorders. Certain dissection and identification of the recurrent laryngeal nerve during thyroid surgery is recommended in principle.

Authors+Show Affiliations

Klinik für Hals-Nasen-Ohrenheilkunde, Kopf- und Halschirurgie, Plastische Operationen, Caritas-Klinik St. Theresia, Saarbrücken. svenmuenks@gmx.de

Pub Type(s)

Comparative Study
English Abstract
Journal Article

Language

ger

PubMed ID

15832249

Citation

Münks, S. "[Prevention of Recurrent Laryngeal Nerve Paralysis By Demonstration of the Nerve During Thyroid Surgery]." Laryngo- Rhino- Otologie, vol. 84, no. 4, 2005, pp. 261-5.
Münks S. [Prevention of recurrent laryngeal nerve paralysis by demonstration of the nerve during thyroid surgery]. Laryngorhinootologie. 2005;84(4):261-5.
Münks, S. (2005). [Prevention of recurrent laryngeal nerve paralysis by demonstration of the nerve during thyroid surgery]. Laryngo- Rhino- Otologie, 84(4), 261-5.
Münks S. [Prevention of Recurrent Laryngeal Nerve Paralysis By Demonstration of the Nerve During Thyroid Surgery]. Laryngorhinootologie. 2005;84(4):261-5. PubMed PMID: 15832249.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Prevention of recurrent laryngeal nerve paralysis by demonstration of the nerve during thyroid surgery]. A1 - Münks,S, PY - 2005/4/16/pubmed PY - 2005/6/18/medline PY - 2005/4/16/entrez SP - 261 EP - 5 JF - Laryngo- rhino- otologie JO - Laryngorhinootologie VL - 84 IS - 4 N2 - INTRODUCTION: Recurrent laryngeal nerve paralysis is one of the major complications of thyroid surgery. The importance of dissection and exploration of the recurrent laryngeal nerve during thyroid surgery remains controversial. METHODS: 74 thyroid gland operations with obligatory dissection and exploration of the recurrent laryngeal nerve were analysed. RESULTS: 118 recurrent laryngeal nerves were explorated in these operations. Transitory postoperative vocal cord paralysis was observed in 4 patients. In one patient vocal cord paralysis was permanent. This results in a transitory vocal cord paralysis rate of 3.4 % and a permanent vocal cord paralysis rate of 0.85 %. DISCUSSION: Our results and the literature review indicate that dissection and visualization of the recurrent laryngeal nerve can reduce the risk of permanent paralysis to a minimum. Obviously mechanical trauma like compression and crushing due to dissection do not increase incidence of permanent nerval disorders. Certain dissection and identification of the recurrent laryngeal nerve during thyroid surgery is recommended in principle. SN - 0935-8943 UR - https://www.unboundmedicine.com/medline/citation/15832249/[Prevention_of_recurrent_laryngeal_nerve_paralysis_by_demonstration_of_the_nerve_during_thyroid_surgery]_ L2 - http://www.thieme-connect.com/DOI/DOI?10.1055/s-2004-826073 DB - PRIME DP - Unbound Medicine ER -