Thyroidectomy With or Without Recurrent Laryngeal Nerve Exposure | ||
| IRAQI JOURNALOF COMMUNITY MEDICINE | ||
| Article 1, Volume 26, Issue 2, August 2013, Pages 188-191 | ||
| Authors | ||
| Jassem Al-Bedri; Hayder S. S. Al-Kawaz; Ihsan H. S. Al-Taie | ||
| Abstract | ||
| Abstract Background: Thyroid surgery complications ranging from recurrent laryngeal nerve injury (RLNI) to death, with improvement of surgical techniques death reduce to minimum while morbidity due to RLNI remains a concern. Aim: This study was done to determine the prevalence of RLNI in our hospital in cases with exposure and non-exposure of the recurrent laryngeal nerve (RLN) and duration of nerve recovery for all patients with thyroid surgery presenting with goiter. Methods: This prospective study was carried out at Al-Yarmouk Teaching Hospital from September 2009 - September 2011. 116 thyroidectomy, representing 24 male and 92 female, in a ratio of 1:4, their age ranges between 17-60 with a mean of 30.85 year. All patients undergoing thyroid surgery were included in study. Preoperative and postoperative indirect laryngoscope examination was performed to all patients. Patients divided into two groups. Results: Group A (thyroid surgery with RLN exposure) (67 patients) shows 2 cases RLNI, Group B (thyroid surgery without RLN exposure) (49 patient) shows 4 cases RLNI. Unilateral RLNI encountered in (5 cases) and bilateral RLNI in (one case). Conclusion: recurrent laryngeal nerve identification in thyroid surgery seems to give a better result to avoid nerve injury. Key words: recurrent laryngeal nerve, Thyroidectomy, Nerve injury | ||
| Keywords | ||
| recurrent laryngeal nerve; Thyroidectomy; Nerve injury | ||
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