Recurrent laryngeal nerve injury after thyroid and parathyroid surgery: Incidence and postoperative evolution assessment
| العنوان: | Recurrent laryngeal nerve injury after thyroid and parathyroid surgery: Incidence and postoperative evolution assessment |
|---|---|
| المؤلفون: | Valérie Schweizer, Nicolas Demartines, Valentine Guarnero, Maurice Matter, Gaëtan-Romain Joliat |
| المصدر: | Medicine Medicine, vol. 96, no. 17, pp. e6674 |
| سنة النشر: | 2017 |
| مصطلحات موضوعية: | Male, recurrent laryngeal nerve, medicine.medical_treatment, Thyroid Gland, vocal cord paresis, Cohort Studies, 0302 clinical medicine, Postoperative Complications, dysphonia, Risk Factors, Recurrent laryngeal nerve, medicine.diagnostic_test, Incidence, Thyroid, General Medicine, Middle Aged, medicine.anatomical_structure, 030220 oncology & carcinogenesis, Anesthesia, Thyroidectomy, 030211 gastroenterology & hepatology, Female, Vocal Cord Paralysis, Research Article, Parathyroidectomy, Adult, medicine.medical_specialty, Cord, Laryngoscopy, Observational Study, Speech Therapy, Parathyroid Glands, 03 medical and health sciences, medicine, Humans, Vocal cord paralysis, endocrine surgery, Aged, business.industry, medicine.disease, Surgery, Multivariate Analysis, Recurrent Laryngeal Nerve Injuries, parathyroid surgery, Vocal cord paresis, business, thyroid surgery |
| الوصف: | Recurrent laryngeal nerve (RLN) injury is a feared complication after thyroid and parathyroid surgery. It induces important postoperative morbidity. The present study aimed to assess the incidence of transient/permanent postoperative RLN injuries after thyroid and parathyroid surgery in the present cohort, to observe the timing of recovery, and to identify risk factors for permanent RLN injury after thyroidectomy. All consecutive patients operated on at our institution for thyroid and parathyroid pathologies from 2005 to 2013 were reviewed for vocal cord paresis. Vocal cord paresis was defined based on postoperative fiberoptic laryngoscopy. Demographics, intraoperative details, and postoperative outcomes were collected. Treatment types were assessed, and recovery times collected. Patients with vocal cord paresis on preoperative fiberoptic laryngoscopy were excluded from the analysis. The cohort included 451 thyroidectomies (756 nerves at risk) and 197 parathyroidectomies (276 nerves at risk). There were 63 postoperative vocal cord pareses after thyroidectomy and 13 after parathyroidectomy. Sixty-nine were transient (10.6%) and 7 permanent (1.1%). The main performed treatment was speech therapy in 51% (39/76) of the patients. Median recovery time after transient injuries was 8 weeks. In the group with vocal cord paresis, risk factors for permanent injuries after thyroidectomy were previous thyroidectomy and intraoperative RLN injury on univariate analysis. On multivariate analysis, only intraoperative RLN injury remained significant. Most of the patients with transient postoperative RLN injury recovered normal vocal cord mobility within 6 months. The most common performed treatment was in this cohort speech therapy. Permanent RLN injuries remained rare (1.1%). |
| وصف الملف: | application/pdf |
| تدمد: | 1536-5964 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b79da784c83eec4872cde47debc47a47 https://pubmed.ncbi.nlm.nih.gov/28445266 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....b79da784c83eec4872cde47debc47a47 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15365964 |
|---|