Total thyroidectomy is safer with identification of recurrent laryngeal nerve

Canbaz, Hakan; Dirlik, Musa; Çolak, Tahsin; Ocal, Koray; Akça, Tamer; Öner, Bilgin; Taşdelen, Bahar; Aydın, Serdar

doi:10.1631/jzus.b0820033

Cited by 17 publications

(18 citation statements)

References 20 publications

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“…The RLN need not be exposed in subtotal lobectomy, whereas routine identification of the nerve is necessary in total lobectomy. Canbaz et al [36] have reported that routine identification of the RLN in total thyroidectomy reduces the rate of injury to the RLN. In our MIVAT series, only five patients suffered from permanent unilateral RLN palsy and seven from transient palsy.…”

Section: Discussionmentioning

confidence: 99%

Minimally invasive video-assisted thyroidectomy: experience of 300 cases

Fan

Guo

et al. 2010

Surg Endosc

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Section: Discussionmentioning

confidence: 99%

Minimally invasive video-assisted thyroidectomy: experience of 300 cases

Fan

Guo

et al. 2010

Surg Endosc

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“…A study by Canbaz et al 3 supports the practice of identification and exposure of recurrent laryngeal nerve and its branches during total thyroidectomy which decreases the rate of recurrent laryngeal nerve injury. Damage to recurrent laryngeal nerve may be unilateral or bilateral; however unilateral nerve injury is more common.…”

Section: Figure 1: Tracheal Oesophageal Groovesmentioning

confidence: 92%

Management of Post extubation stridor following Total thyroidectomy due to bilateral recurrent laryngeal nerve damage - a case report

T¹,

Chethanananda²,

Mishra³

et al. 2014

Int Jour of Biomed Res

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“…The identification of recurrent laryngeal nerve by intraoperative electrophysiologic responses through continuous or discontinuous neuromonitoring [20] and by careful exposure and preservation throughout its course are important to prevent nerve injury [21][22][23]. The neuromonitoring of the nerve may be difficult to apply and is usually not found in all centers while careful exposure and preservation throughout nerve's course are important to prevent the nerve injury especially by loupe magnification which is simple, not sophisticated and cheap.…”

Section: Tab 3: Incidence Of Injury Of Both Permanent and Transient mentioning

confidence: 99%

Total thyroidectomy by loupe magnification: a comparative study

et al. 2011

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Zusammenfassung. Grundlagen: Die Entfernung der gesamten Schilddrü se ist in der Therapie bei gutartigen und bösartigen Erkrankungen der Schilddrü se etabliert, ist aber potentiell mit erhöhten postoperativen Komplikationen assoziiert. Es geht vor allem um die Schonung der Nervus laryngeus recurrens und der Nebenschilddrü sen. Die Autoren ü berlegten, ob die Lupenvergrößerung dazu beitragen kann, die angefü hrten Komplikationen zu vermeiden.Methodik: Die totale Thyreoidektomie wurde mit (Gruppe A) und ohne (Gruppe B) Lupenvergrößerung durchgefü hrt. Stimmbandfunktion und Kalziumspiegel wurden postoperativ untersucht.Ergebnisse: Die Lupenvergrößerung verbessert die Identifizierung und Schonung des Nervus laryngeus recurrens und der Nebenschilddrü sen.Schlussfolgerungen: Lupenvergrößerung bei Entfernung der gesamten Schilddrü se ist machbar, verbessert das Ergebnis und sollte von erfahrenen Chirurgen durchgefü hrt werden.Schlüsselwörter: Schilddrüsenresektion, Lupenvergröße-rung.Summary. Background: Total thyroidectomy has been accepted as current surgical therapy for benign and malignant thyroidal disorders but extensive resection might increase the risk of postoperative complications. Intensive effort should be spent to prevent recurrent laryngeal nerve injury and hypoparathyroidism, because they can be avoided with appropriate surgical technique during total thyroidectomy. The authors proposed that the use of a loupe for operative field magnification could improve the outcome of total thyroidectomy as regard to identification of both the recurrent laryngeal nerves and the parathyroids.Methods: Patients were subjected to total thyroidectomy with loupe magnification in group A and without loupe in group B. The status of vocal cords of all patients was checked postoperatively by laryngoscope. Serum calcium concentration immediately postoperatively and during follow-up was checked.Results: Loupe magnification helps identification of external branch of superior laryngeal nerve and parathyroid preservation.Conclusions: Total thyroidectomy by loupe magnification is feasible, improves the outcome, and should be done by experienced surgeon.

show abstract

Total thyroidectomy is safer with identification of recurrent laryngeal nerve

Cited by 17 publications

References 20 publications

Minimally invasive video-assisted thyroidectomy: experience of 300 cases

Minimally invasive video-assisted thyroidectomy: experience of 300 cases

Management of Post extubation stridor following Total thyroidectomy due to bilateral recurrent laryngeal nerve damage - a case report

Total thyroidectomy by loupe magnification: a comparative study

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