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Recurrent laryngeal nerve injury after thyroidectomy: A national study from Saudi Arabia

OBJECTIVES: To determine the incidence and possible risk factors of recurrent laryngeal nerve injury, to provide a relevant literature review of studies from other centers in Saudi Arabia, and to present basic statistical data for future studies in our local community. METHODS: A retrospective study...

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Autores principales: Alqahtani, Saad M., Al-sohabi, Hanan R., Rayzah, Musaed F., Alatawi, Amani S., AlFattani, Areej A., Alalawi, Yousef S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Saudi Medical Journal 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9987677/
https://www.ncbi.nlm.nih.gov/pubmed/36634946
http://dx.doi.org/10.15537/smj.2023.44.1.20220710
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author Alqahtani, Saad M.
Al-sohabi, Hanan R.
Rayzah, Musaed F.
Alatawi, Amani S.
AlFattani, Areej A.
Alalawi, Yousef S.
author_facet Alqahtani, Saad M.
Al-sohabi, Hanan R.
Rayzah, Musaed F.
Alatawi, Amani S.
AlFattani, Areej A.
Alalawi, Yousef S.
author_sort Alqahtani, Saad M.
collection PubMed
description OBJECTIVES: To determine the incidence and possible risk factors of recurrent laryngeal nerve injury, to provide a relevant literature review of studies from other centers in Saudi Arabia, and to present basic statistical data for future studies in our local community. METHODS: A retrospective study enrolled patients who were surgically treated for thyroid disease between January 2015 and December 2021. For concerns during the procedure, direct laryngoscopy was carried out before extubation to assess the vocal cords. Similarly, indirect laryngoscopy was carried out for patients who developed postoperative voice changes. All patients were evaluated clinically 2-3 weeks after surgery. Nerve monitors were not used in either case. RESULTS: The study examined 437 participants: 361 (82.6%) female and 76 (17.4%) male individuals. The incidence of recurrent laryngeal nerve injury was 1.1%. The demographic characteristics, pathology (benign vs. malignant), and extent of thyroidectomy were not significantly associated with the risk of recurrent laryngeal nerve injury. CONCLUSION: A recurrent laryngeal nerve injury is a serious complication, and further studies are required to determine the safest techniques for thyroidectomy. However, centralization of thyroid surgery in high-volume centers might reduce this risk.
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spelling pubmed-99876772023-03-07 Recurrent laryngeal nerve injury after thyroidectomy: A national study from Saudi Arabia Alqahtani, Saad M. Al-sohabi, Hanan R. Rayzah, Musaed F. Alatawi, Amani S. AlFattani, Areej A. Alalawi, Yousef S. Saudi Med J Original Article OBJECTIVES: To determine the incidence and possible risk factors of recurrent laryngeal nerve injury, to provide a relevant literature review of studies from other centers in Saudi Arabia, and to present basic statistical data for future studies in our local community. METHODS: A retrospective study enrolled patients who were surgically treated for thyroid disease between January 2015 and December 2021. For concerns during the procedure, direct laryngoscopy was carried out before extubation to assess the vocal cords. Similarly, indirect laryngoscopy was carried out for patients who developed postoperative voice changes. All patients were evaluated clinically 2-3 weeks after surgery. Nerve monitors were not used in either case. RESULTS: The study examined 437 participants: 361 (82.6%) female and 76 (17.4%) male individuals. The incidence of recurrent laryngeal nerve injury was 1.1%. The demographic characteristics, pathology (benign vs. malignant), and extent of thyroidectomy were not significantly associated with the risk of recurrent laryngeal nerve injury. CONCLUSION: A recurrent laryngeal nerve injury is a serious complication, and further studies are required to determine the safest techniques for thyroidectomy. However, centralization of thyroid surgery in high-volume centers might reduce this risk. Saudi Medical Journal 2023-01 /pmc/articles/PMC9987677/ /pubmed/36634946 http://dx.doi.org/10.15537/smj.2023.44.1.20220710 Text en Copyright: © Saudi Medical Journal https://creativecommons.org/licenses/by/4.0/This is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work.
spellingShingle Original Article
Alqahtani, Saad M.
Al-sohabi, Hanan R.
Rayzah, Musaed F.
Alatawi, Amani S.
AlFattani, Areej A.
Alalawi, Yousef S.
Recurrent laryngeal nerve injury after thyroidectomy: A national study from Saudi Arabia
title Recurrent laryngeal nerve injury after thyroidectomy: A national study from Saudi Arabia
title_full Recurrent laryngeal nerve injury after thyroidectomy: A national study from Saudi Arabia
title_fullStr Recurrent laryngeal nerve injury after thyroidectomy: A national study from Saudi Arabia
title_full_unstemmed Recurrent laryngeal nerve injury after thyroidectomy: A national study from Saudi Arabia
title_short Recurrent laryngeal nerve injury after thyroidectomy: A national study from Saudi Arabia
title_sort recurrent laryngeal nerve injury after thyroidectomy: a national study from saudi arabia
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9987677/
https://www.ncbi.nlm.nih.gov/pubmed/36634946
http://dx.doi.org/10.15537/smj.2023.44.1.20220710
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