Vocal fold paralysis with intraoperative recurrent laryngeal nerve identification versus non-identification of recurrent laryngeal nerve in total thyroidectomy: A retrospective cohort study
Philippine Journal of Otolaryngology Head and Neck Surgery
;
: 22-25, 2016.
Article
Dans Anglais
| WPRIM
| ID: wpr-632661
ABSTRACT
@#<p><strong>OBJECTIVE:
</strong> To determine the risk of vocal fold paralysis in patients who underwent total thyroidectomy with and without intraoperative recurrent laryngeal nerve identification.</p> <p><strong>METHODS:
</strong></p> <p><strong>Design:
</strong> Retrospective cohort study </p> <p><strong>Setting:
</strong> Tertiary military hospital</p> <p><strong>Participants:
</strong> 237 adult patients who underwent total thyroidectomy for benign lesions based on post-operative histopathology operated on by senior third or fourth year residents. Excluded were those who underwent lobectomy with isthmusectomy or reoperation/completion thyroidectomy, had intrathoracic goiters, confirmed malignancies based on post-operative histopathology, or cases wherein the RLN had to be sacrificed due to gross involvement of the nerve caused by malignancy.</p> <p><strong>RESULTS:
</strong> Group A, wherein intraoperative identification of RLN was done, had a temporary and permanent RLN injury incidence of 2.75% and 0.92% respectively. Group B, wherein intraoperative identification of RLN was not done, had a temporary and permanent RLN injury incidence of 17.19% and 12.5% respectively. Through binary linear regression, the probability of having temporary paralysis increases almost two-fold if the nerve is not identified, and the probability of having permanent paralysis increases by almost nine-fold if the nerve is not identified.</p> <p><strong>CONCLUSION:
</strong> We recommend routine intraoperative RLN identification, which has a lower risk for temporary and permanent vocal fold paralysis when compared to non-identification of the RLN.</p> <p> </p>
Recherche sur Google
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Nerf laryngé récurrent
/
Thyroïdectomie
/
Paralysie des cordes vocales
Type d'étude:
Etude diagnostique
/
Etude d'étiologie
/
Étude observationnelle
Limites du sujet:
Adulte
/
Femelle
/
Humains
/
Mâle
langue:
Anglais
Texte intégral:
Philippine Journal of Otolaryngology Head and Neck Surgery
Année:
2016
Type:
Article
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