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[Recurrent nerve injury after goiter surgery].
F M Svendsen1, S E Bådsgård, P H Nielsen
1Aalborg Sygehus Syd.
Ugeskrift for Laeger
|April 30, 1990
Summary
Thyroid surgery can cause vocal cord paresis, with transient issues in 2.6% and permanent in 0.4%. Careful vocal cord monitoring and laryngoscopy are crucial after thyroid operations.
Area of Science:
- Otolaryngology
- Endocrine Surgery
- Surgical Anatomy
Context:
- Benign thyroid disease necessitates surgical intervention.
- Recurrent laryngeal nerve injury is a known complication of thyroid surgery.
- Vocal cord paresis impacts voice quality and respiratory function.
Purpose:
- To determine the frequency of transient and permanent vocal cord paresis.
- To assess the incidence of unilateral and bilateral vocal cord paresis post-thyroidectomy.
- To evaluate the impact of recurrent laryngeal nerve injury during thyroid surgery.
Summary:
- A five-year study of 230 patients undergoing thyroid surgery for benign conditions.
- Postoperative indirect laryngoscopy evaluated vocal cord function.
- Transient unilateral paresis occurred in 17 patients (7.4%), bilateral in 5 (2.2%). Permanent unilateral paresis in 5 (2.2%), bilateral in 1 (0.4%). Two patients required tracheostomy.
Impact:
- Highlights the incidence of vocal cord dysfunction following thyroid surgery.
- Emphasizes the importance of meticulous surgical technique and postoperative vocal cord monitoring.
- Underscores the necessity of laryngoscopy for early detection and management of paresis.