Recurrent Laryngeal Nerve Injury Near the Nerve Entry Point in Total Endoscopic Thyroidectomy: A Retrospective Cohort Study
By Admin | December 12, 2021
Introduction
Surgery is the main method for the treatment of thyroid cancer, but conventional open thyroidectomy (COT) can leave an obvious, permanent scar in the front of the neck. Surgeries are needed for an increasing number of young women with thyroid cancer. These patients are concerned about not only the safety of surgery but also the postoperative cosmetic effect. In 1996 and 1997, Gagner1 and Hüscher2 completed the first endoscopic parathyroid and thyroid surgeries, respectively. Total endoscopic thyroidectomy (TET) can provide a good neck cosmetic effect and improve the postoperative quality of life because of the small and hidden incisions.
Recurrent laryngeal nerve injury (RLNI) is one of the common complications of thyroidectomy, which can lead to postoperative vocal cord palsy (VCP). In thyroid surgery, the incidence of RLNI can be reduced by routine visual identification of the recurrent laryngeal nerve (RLN).3–6 The literature shows that the overall incidence of VCP after thyroid surgery is 4–8%, and the incidence of permanent VCP is 1–2%.7,8 In addition, the use of intraoperative neuromonitoring (IONM) can also help to identify RLNI and reduce the risk of RLNI.9–14
RLNI still occurs at times in TET with the help of routine visual identification and IONM. Some studies have confirmed that the incidence of RLNI in TET is higher than...(More)
For more info please read, Recurrent Laryngeal Nerve Injury Near the Nerve Entry Point in Total Endoscopic Thyroidectomy: A Retrospective Cohort Study, by Dovepress
