Recurrent Laryngeal Nerve Palsy in Thyroid Gland Surgery Related to Operations and Nerves at Risk
- 1 April 1985
- journal article
- research article
- Published by American Medical Association (AMA) in Archives of Surgery
- Vol. 120 (4), 475-477
- https://doi.org/10.1001/archsurg.1985.01390280065014
Abstract
• Recurrent laryngeal nerve palsy is rare, but it is the most common complication in thyroid gland surgery. Depending on whether the measurement of the rate of occurrence is based on the number of operations or on the number of nerves at risk, the rate may vary widely. The elapsed time from the operation to when the palsy is considered permanent has also differed among various studies. In a ten-year series of 514 thyroid gland operations at a county hospital, all patients with a postoperative palsy were examined six months to ten years after the operation. After a primary operation almost 50% of the palsies were temporary, reducing the permanent palsy rate to 5.8% based on the number of operations, or 3.6% based on the number of nerves at risk. With more extensive surgery, the rate increased. This series illustrates the importance of the method by which the recurrent laryngeal nerve palsy rate is defined and calculated. The rates also show that the complication rate may be kept at a low level even in a nonspecialized unit. (Arch Surg 1985;120:475-477)This publication has 5 references indexed in Scilit:
- Early and Late Complications After Thyroid OperationsSouthern Medical Journal, 1983
- Prevention and Management of Complications Associated with Thyroid and Parathyroid SurgerySurgical Clinics of North America, 1979
- Thyroidectomy: Prevention of bilateral recurrent nerve palsy, results of identification of the nerve over 23 consecutive years (1946-69) with a description of an additional safety measureBritish Journal of Surgery, 1970
- INJURY TO RECURRENT LARYNGEAL NERVES DURING THYROIDECTOMY: A COMPARISON BETWEEN THE RESULTS- OF IDENTIFICATION AND NON-IDENTIFICATION IN 1022 NERVES EXPOSED TO RISKThe Lancet, 1956
- Vulnerability of the recurrent laryngeal nerves at thyroidectomyBritish Journal of Surgery, 1955