2013
DOI: 10.1177/000348941312200609
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Factors Influencing Morbidity after Surgical Management of Malignant Thyroid Disease

Abstract: Our study shows a higher incidence of temporary RLN injury and teniporary HPT in revision surgery cases and in total thyroidectomy with neck dissection. Temporary HPT was significantly more common when the RLN was identified near the cricothyroid joint.

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Cited by 15 publications
(10 citation statements)
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“…Although much has been published on treatment and operative risk for Graves’ disease, Hashimoto’s and thyroid cancer patients, there is no published literature that investigates specific preoperative factors that are predictive of a more difficult thyroid operation (411, 1315, 18). The data found in our study can be used to differentiate which hyperthyroid patients, like those with ophthalmopathy, or which cancer or Hashimoto’s patients, will experience a more difficult operation.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Although much has been published on treatment and operative risk for Graves’ disease, Hashimoto’s and thyroid cancer patients, there is no published literature that investigates specific preoperative factors that are predictive of a more difficult thyroid operation (411, 1315, 18). The data found in our study can be used to differentiate which hyperthyroid patients, like those with ophthalmopathy, or which cancer or Hashimoto’s patients, will experience a more difficult operation.…”
Section: Discussionmentioning
confidence: 99%
“…Although certain disease states such as hyperthyroidism, goiter, and thyroiditis are associated with more difficult thyroidectomies, the degree of difficulty often varies widely, and it is difficult to quantify or predict the level of difficulty of these cases preoperatively (3, 511). Surgical risk in thyroidectomy is well studied, but there is no literature regarding the quantification of “difficulty” or an objective measure of “difficulty” for a thyroidectomy (49, 1215). Difficulty scales have been developed for nephrectomy (16) and choledochotomy (17), but none exist in the area of thyroid surgery.…”
Section: Introductionmentioning
confidence: 99%
“…Risk factors for RLN damage include thyroid cancer surgery, revision surgery, lymph node dissection, retrosternal extension, and abnormal anatomy. 9,11,17 Risk factors for poor regrowth include age, diabetes, smoking, and systemic disease. 11 The use of energy devices in thyroid surgery is very common and may account for a small proportion of nerve injuries after thyroid surgery.…”
Section: Clinical Aspectsmentioning
confidence: 99%
“…Although certain disease states such as hyperthyroidism, goiter, and thyroiditis are associated with more difficult thyroidectomies, the degree of difficulty often varies widely, and it is difficult to quantify or predict the level of difficulty of these cases preoperatively (3,(5)(6)(7)(8)(9)(10)(11). Surgical risk in thyroidectomy is well studied, but there is no literature regarding the quantification of "difficulty" or an objective measure of "difficulty" for a thyroidectomy (4)(5)(6)(7)(8)(9)(12)(13)(14)(15). Difficulty scales have been developed for nephrectomy (16) and choledochotomy (17), but none exist in the area of thyroid surgery.…”
Section: Introductionmentioning
confidence: 99%