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Routine exposure of recurrent laryngeal nerve in thyroid surgery can prevent nerve injury

To determine the value of dissecting the recurrent laryngeal nerve during thyroid surgery with respect to preventing recurrent laryngeal nerve injury, we retrospectively analyzed clinical data from 5 344 patients undergoing thyroidectomy. Among these cases, 548 underwent dissection of the recurrent...

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Autores principales: Shen, Chenling, Xiang, Mingliang, Wu, Hao, Ma, Yan, Chen, Li, Cheng, Lan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4145966/
https://www.ncbi.nlm.nih.gov/pubmed/25206452
http://dx.doi.org/10.3969/j.issn.1673-5374.2013.17.004
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author Shen, Chenling
Xiang, Mingliang
Wu, Hao
Ma, Yan
Chen, Li
Cheng, Lan
author_facet Shen, Chenling
Xiang, Mingliang
Wu, Hao
Ma, Yan
Chen, Li
Cheng, Lan
author_sort Shen, Chenling
collection PubMed
description To determine the value of dissecting the recurrent laryngeal nerve during thyroid surgery with respect to preventing recurrent laryngeal nerve injury, we retrospectively analyzed clinical data from 5 344 patients undergoing thyroidectomy. Among these cases, 548 underwent dissection of the recurrent laryngeal nerve, while 4 796 did not. There were 12 cases of recurrent laryngeal nerve injury following recurrent laryngeal nerve dissection (injury rate of 2.2%) and 512 cases of recurrent laryngeal nerve injury in those not undergoing nerve dissection (injury rate of 10.7%). This difference remained statistically significant between the two groups in terms of type of thyroid disease, type of surgery, and number of surgeries. Among the 548 cases undergoing recurrent laryngeal nerve dissection, 128 developed anatomical variations of the recurrent laryngeal nerve (incidence rate of 23.4%), but no recurrent laryngeal nerve injury was found. In addition, the incidence of recurrent laryngeal nerve injury was significantly lower in patients with the inferior parathyroid gland and middle thyroid veins used as landmarks for locating the recurrent laryngeal nerve compared with those with the entry of the recurrent laryngeal nerve into the larynx as a landmark. These findings indicate that anatomical variations of the recurrent laryngeal nerve are common, and that dissecting the recurrent laryngeal nerve during thyroid surgery is an effective means of preventing nerve injury.
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spelling pubmed-41459662014-09-09 Routine exposure of recurrent laryngeal nerve in thyroid surgery can prevent nerve injury Shen, Chenling Xiang, Mingliang Wu, Hao Ma, Yan Chen, Li Cheng, Lan Neural Regen Res Peripheral Nerve Injury and Neural Regeneration To determine the value of dissecting the recurrent laryngeal nerve during thyroid surgery with respect to preventing recurrent laryngeal nerve injury, we retrospectively analyzed clinical data from 5 344 patients undergoing thyroidectomy. Among these cases, 548 underwent dissection of the recurrent laryngeal nerve, while 4 796 did not. There were 12 cases of recurrent laryngeal nerve injury following recurrent laryngeal nerve dissection (injury rate of 2.2%) and 512 cases of recurrent laryngeal nerve injury in those not undergoing nerve dissection (injury rate of 10.7%). This difference remained statistically significant between the two groups in terms of type of thyroid disease, type of surgery, and number of surgeries. Among the 548 cases undergoing recurrent laryngeal nerve dissection, 128 developed anatomical variations of the recurrent laryngeal nerve (incidence rate of 23.4%), but no recurrent laryngeal nerve injury was found. In addition, the incidence of recurrent laryngeal nerve injury was significantly lower in patients with the inferior parathyroid gland and middle thyroid veins used as landmarks for locating the recurrent laryngeal nerve compared with those with the entry of the recurrent laryngeal nerve into the larynx as a landmark. These findings indicate that anatomical variations of the recurrent laryngeal nerve are common, and that dissecting the recurrent laryngeal nerve during thyroid surgery is an effective means of preventing nerve injury. Medknow Publications & Media Pvt Ltd 2013-06-15 /pmc/articles/PMC4145966/ /pubmed/25206452 http://dx.doi.org/10.3969/j.issn.1673-5374.2013.17.004 Text en Copyright: © Neural Regeneration Research http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Peripheral Nerve Injury and Neural Regeneration
Shen, Chenling
Xiang, Mingliang
Wu, Hao
Ma, Yan
Chen, Li
Cheng, Lan
Routine exposure of recurrent laryngeal nerve in thyroid surgery can prevent nerve injury
title Routine exposure of recurrent laryngeal nerve in thyroid surgery can prevent nerve injury
title_full Routine exposure of recurrent laryngeal nerve in thyroid surgery can prevent nerve injury
title_fullStr Routine exposure of recurrent laryngeal nerve in thyroid surgery can prevent nerve injury
title_full_unstemmed Routine exposure of recurrent laryngeal nerve in thyroid surgery can prevent nerve injury
title_short Routine exposure of recurrent laryngeal nerve in thyroid surgery can prevent nerve injury
title_sort routine exposure of recurrent laryngeal nerve in thyroid surgery can prevent nerve injury
topic Peripheral Nerve Injury and Neural Regeneration
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4145966/
https://www.ncbi.nlm.nih.gov/pubmed/25206452
http://dx.doi.org/10.3969/j.issn.1673-5374.2013.17.004
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