Non – Exploration of the Recurrent Laryngeal Nerve in Thyroid Surgery

more common in females than in males. For this reason thyroid surgery is a common procedure. Many complications occur during and after surgery such as; bleeding, hypothyroidism, and recurrent laryngeal nerve injury.The later complication, although infrequently encountered can cause a lot of s...

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Main Author: Hussain Alwan Al-Obaidy
Format: Article
Language:English
Published: College of medicine/ University of Diyala 2019-11-01
Series:Diyala Journal of Medicine
Subjects:
Online Access:https://www.djm.uodiyala.edu.iq/index.php/djm/article/view/368
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author Hussain Alwan Al-Obaidy
author_facet Hussain Alwan Al-Obaidy
author_sort Hussain Alwan Al-Obaidy
collection DOAJ
description more common in females than in males. For this reason thyroid surgery is a common procedure. Many complications occur during and after surgery such as; bleeding, hypothyroidism, and recurrent laryngeal nerve injury.The later complication, although infrequently encountered can cause a lot of suffering to the patient. Objective: The objective of our study is assessing injury to the recurrent laryngeal nerve without exploration of the nerve routinely during thyroid surgery. exploration of the nerve done for selected cases where there is increase risk to injury. Patients and method: Prospective study of 400 patients whom underwent different thyroid surgery for different thyroid diseases done by one surgeon from July 1992 to July 2012 in Baquba teaching hospital were analyzed for permanent injury to RLN , when non-exploration of the RLN is the rule. Result: from the 400 cases included in the study only 4 cases (1%) had permanent injury to the RLN, 6 cases (1.5%) had transient injury and no injury in 390 cases (97.5%). Conclusion: Exploration of the RLN is not necessarily to be done routinely during thyroid surgery. We recommend exploration of the nerve in selected thyroid diseases.           
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spelling doaj.art-8a97e58eeb7342e1823cc05f678e48602023-11-19T23:21:02ZengCollege of medicine/ University of DiyalaDiyala Journal of Medicine2219-97642617-89822019-11-0161Non – Exploration of the Recurrent Laryngeal Nerve in Thyroid Surgery Hussain Alwan Al-Obaidy more common in females than in males. For this reason thyroid surgery is a common procedure. Many complications occur during and after surgery such as; bleeding, hypothyroidism, and recurrent laryngeal nerve injury.The later complication, although infrequently encountered can cause a lot of suffering to the patient. Objective: The objective of our study is assessing injury to the recurrent laryngeal nerve without exploration of the nerve routinely during thyroid surgery. exploration of the nerve done for selected cases where there is increase risk to injury. Patients and method: Prospective study of 400 patients whom underwent different thyroid surgery for different thyroid diseases done by one surgeon from July 1992 to July 2012 in Baquba teaching hospital were analyzed for permanent injury to RLN , when non-exploration of the RLN is the rule. Result: from the 400 cases included in the study only 4 cases (1%) had permanent injury to the RLN, 6 cases (1.5%) had transient injury and no injury in 390 cases (97.5%). Conclusion: Exploration of the RLN is not necessarily to be done routinely during thyroid surgery. We recommend exploration of the nerve in selected thyroid diseases.            https://www.djm.uodiyala.edu.iq/index.php/djm/article/view/368Non – Exploration ,Thyroid Surgery
spellingShingle Hussain Alwan Al-Obaidy
Non – Exploration of the Recurrent Laryngeal Nerve in Thyroid Surgery
Diyala Journal of Medicine
Non – Exploration ,Thyroid Surgery
title Non – Exploration of the Recurrent Laryngeal Nerve in Thyroid Surgery
title_full Non – Exploration of the Recurrent Laryngeal Nerve in Thyroid Surgery
title_fullStr Non – Exploration of the Recurrent Laryngeal Nerve in Thyroid Surgery
title_full_unstemmed Non – Exploration of the Recurrent Laryngeal Nerve in Thyroid Surgery
title_short Non – Exploration of the Recurrent Laryngeal Nerve in Thyroid Surgery
title_sort non exploration of the recurrent laryngeal nerve in thyroid surgery
topic Non – Exploration ,Thyroid Surgery
url https://www.djm.uodiyala.edu.iq/index.php/djm/article/view/368
work_keys_str_mv AT hussainalwanalobaidy nonexplorationoftherecurrentlaryngealnerveinthyroidsurgery