TITLE

Importance of Identifying the Course of the Recurrent Laryngeal Nerve in Total and Near-Total Thyroid Lobectomies

AUTHOR(S)
Acun, Zeki; Cinar, Fikret; Cihan, Alper; Ulukent, Suat Can; Uzun, Lokman; Ucan, Bulent; Ugur, M. Birol
PUB. DATE
March 2005
SOURCE
American Surgeon;Mar2005, Vol. 71 Issue 3, p225
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
In our clinic, near-total thyroidectomy is the principal surgical procedure performed for benign thyroid diseases. We conducted a single-institution study on 176 consecutive patients who underwent near-total thyroidectomy due to various thyroid diseases. We compared the incidence of recurrent laryngeal nerve injury between total and near-total thyroid lobectomy sides in each patient. Our hypothesis was that the incidence of recurrent laryngeal nerve injury after total thyroid lobectomy would be similar to that of near-total thyroid lobectomy when the course of the recurrent laryngeal nerve was identified during surgery. The temporary recurrent laryngeal nerve palsy rates on the total and near-total thyroid lobectomy sides were 3.9 per cent (7 of 176 nerves) and 2.2 per cent (4 of 176 nerves), respectively. The difference was not statistically significant. Permanent recurrent laryngeal nerve palsy did not occur in any of our patients. In conclusion, the incidence of recurrent laryngeal nerve injury in total versus near-total thyroid lobectomy is not different when the course of the recurrent laryngeal nerve is identified during surgery.
ACCESSION #
16670859

 

Related Articles

  • Neuromonitoring in Thyroid Surgery: Attitudes, Usage Patterns, and Predictors of Use Among Endocrine Surgeons. Sturgeon, Cord; Sturgeon, Treena; Angelos, Peter // World Journal of Surgery;Mar2009, Vol. 33 Issue 3, p417 

    The use of neuromonitoring in thyroid surgery is controversial. Attitudes about neuromonitoring, usage patterns, and predictors of use have not been formally studied. We hypothesized that attitudes would predict usage patterns and that the predominant strategy among endocrine surgeons would be...

  • Total Endoscopic Thyroidectomy with Bilateral Breast Areola and Ipsilateral Axillary (BBIA) Approach. Jeryong, K.; Jinsun, L.; Hyegyong, K.; Eilsung, C.; Jiyoung, S.; Insang, S.; Moonsang, A.; Jiyeon, K.; Jaeeun, H. // World Journal of Surgery;Nov2008, Vol. 32 Issue 11, p2488 

    Endoscopic surgery for thyroid nodules is used by many endocrine surgeons. The present study reviews our experiences with endoscopic thyroidectomy using bilateral breast areola and ipsilateral axillary (BBIA) approach to evaluate its safety and feasibility. From June 2003 through November 2007,...

  • Enhanced Scintigraphic Visualization of Thyroglossal Duct Remnant during Hypothyroidism after Total Thyroidectomy: Prevalence and Clinical Implication in Patients with Differentiated Thyroid Cancer. Sang-Woo Lee; Jaetae Lee; Hui Joong Lee; Ji-Hyoung Seo; Seong-Min Kang; Jin-Ho Bae; Byeong-Cheol Ahn // Thyroid;Apr2007, Vol. 17 Issue 4, p341 

    Objective: The exact prevalence and clinical significance of ectopic thyroid or thyroglossal duct remnant (TGDR) in the general population have not yet been fully determined despite numerous case reports. This study was prepared to assess the prevalence of TGDR in asymptomatic subjects during...

  • The technique of thyroidectomy. Wheeler, Malcolm H. // Journal of the Royal Society of Medicine (Supplement);Jan1998, Vol. 91 Issue 33, p12 

    The article focuses on the technique of thyroidectomy. The pre-operative preparation before performing the technique of unilateral total thyroid lobectomy is discussed. For cancer and gross multinodular disease, total thyroidectomy is usually performed. The technical standards for the procedure...

  • THE EXTERNAL LARYNGEAL NERVE IN THYROID SURGERY: THE 'NO MORE NEGLECTED' NERVE. Kumar Mishra, Anand; Temadari, Hema; Singh, Nikhil; Mishra, S. K.; Agarwal, Amit // Indian Journal of Medical Sciences;Jan2007, Vol. 61 Issue 1, p3 

    AIMS: To describe a novel surgical technique of 'lateralization' of superior pole to identify and save external branch of superior laryngeal nerve (EBSLN) during thyroidectomy. SETTINGS AND DESIGN: Prospective, nonrandomized at a tertiary care hospital in a specialized unit. MATERIAL AND...

  • A simple home-made self-retaining retractor for thyroidectomy. Tam-Lin Chow; Tony Chan; Siu-King Law; Siu-Ho Lam // Canadian Journal of Surgery;Dec2009, Vol. 52 Issue 6, p523 

    The article discusses the concept of a surgical technique that uses a simple home-made self-retaining retractor for thyroidectomy. The medical equipment is said to have been made out of K-wire which is available in a hospital's operating room. It is noted that the surgery then can be done...

  • Thyroidectomy with LigaSure. IGNJATOVIĆ, MILE; KOSTIĆ, ZORAN // Surgery Today;Jun2011, Vol. 41 Issue 6, p767 

    Purpose: A new method for ensuring hemostasis during thyroid surgery has recently been introduced. This technique, electrothermal (LigaSure) and ultrasound blood vessel sealing, is still experimental. The aim of the present study was to evaluate the applications and efficacy of LigaSure by...

  • Bipolar thermofusion vessel sealing system (TVS) versus conventional vessel ligation (CVL) in thyroid surgery–results of a prospective study. Alesina, Pier Francesco; Rolfs, Thomas; Walz, Martin K. // Langenbeck's Archives of Surgery;Feb2010, Vol. 395 Issue 2, p115 

    One of the keystones in surgery of the thyroid gland is accurate hemostasis. This can be achieved by conventional ligations or new instruments as harmonic scissors or bipolar devices. In the present study, we report our experience with a new bipolar thermofusion vessel sealing system (TVS)...

  • Tiroidektomi sonrası geç dönemde ortaya çıkan hayatı tehdit edici kanama. Mayir, Burhan; Doğan, Uğur; Koç, Ümit; Ayşe Arduçoğlu Merter; Oruç, Mehmet Tahir // Journal of Dialog in Endocrinology / Endokrinolide Diyalog Dergi;2013, Vol. 10 Issue 4, p142 

    Postoperative bleeding is a rare cause of mortality after thyroid surgery. Most of life threatening bleeding ocuur after 4 to 6 hours after surgery, rarely can be seen after 24 hours. In this article we present a case in whom we experienced life threatening bleeding late after thyroidectomy....

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics