2008
DOI: 10.1016/j.jamcollsurg.2007.07.017
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Elucidating Mechanisms of Recurrent Laryngeal Nerve Injury During Thyroidectomy and Parathyroidectomy

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Cited by 230 publications
(209 citation statements)
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“…It was found that by far the most common and troublesome variant was extralaryngeal bifurcation of the RLN and subsequent traction injury. 44,45 The prospective trial of Sancho et al noted extralaryngeal branching of the RLN in 37.4% of nerves, with a mean branching distance from the larynx of 21.5 mm. Transient vocal cord dysfunction was twice as common in extralaryngeal-branched nerves (15.8% versus 8.1%, P = 0.022).…”
Section: Graves' Diseasementioning
confidence: 99%
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“…It was found that by far the most common and troublesome variant was extralaryngeal bifurcation of the RLN and subsequent traction injury. 44,45 The prospective trial of Sancho et al noted extralaryngeal branching of the RLN in 37.4% of nerves, with a mean branching distance from the larynx of 21.5 mm. Transient vocal cord dysfunction was twice as common in extralaryngeal-branched nerves (15.8% versus 8.1%, P = 0.022).…”
Section: Graves' Diseasementioning
confidence: 99%
“…In these instances, a trend for slightly reduced RLNP rates is observed, although not to statistically significant levels in all instances. 12,13,17,45,59 The Yarbrough et al study exclusively analysed re-operative thyroid procedures and showed no difference in RLNP rates between monitored and unmonitored groups. 17 There is some evidence suggesting that IONM may reduce palsy rates in Hashimoto's and Graves' disease.…”
Section: The Role Of Ionmmentioning
confidence: 99%
“…Injury to the RLN can result from sharp trauma (transection), clamping, ligation, compression, traction, thermal injury, or ischemia [8]. The anterior motor branch of a recurrent laryngeal nerve bifurcating near the ligament of Berry is particularly at risk of traction injury [9].Laryngoscopy is an essential part of the evaluation of UVFP. Our case is unique in that there was delayed presentation of recurrent laryngeal nerve palsy on the fourth post-operative day, which has recovered completely in three months' time.We believe vascular spasm as a possible cause for this delayed presentation of vocal cord palsy.…”
Section: IIImentioning
confidence: 99%
“…Identifying a neuropraxic segment of the nerve allows the surgeon to analyze the individual stages of the surgery and may potentially provide better understanding of the surgical maneuver that may have injured that specific segment (e.g. excessive traction, compression, clamping, or ligation) [10]. RLN injuries identified by means of neuromonitoring may be divided into two types [10].…”
Section: Elements Necessary For Ensuring Optimal Ionm According To Inmsgmentioning
confidence: 99%
“…excessive traction, compression, clamping, or ligation) [10]. RLN injuries identified by means of neuromonitoring may be divided into two types [10]. The first type involves local RLN injury and is referred to as segmental damage.…”
Section: Elements Necessary For Ensuring Optimal Ionm According To Inmsgmentioning
confidence: 99%