Laryngeal complications after thyroidectomy: is it always the surgeon?
Laryngeal dysfunction after thyroidectomy is a common complication. However, few data are available to differentiate whether these complications result from injury to the recurrent nerve or to the vocal folds from intubation.University medical center.Seven hundred sixty-one patients who underwent su...
Gespeichert in:
| Hauptverfasser: | , , , , , |
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| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
February 16, 2009
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| In: |
Archives of surgery
Year: 2009, Jahrgang: 144, Heft: 2, Pages: 149-153 |
| ISSN: | 1538-3644 |
| DOI: | 10.1001/archsurg.2008.530 |
| Online-Zugang: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1001/archsurg.2008.530
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| Verfasserangaben: | Matthias Echternach, MD; Christoph Maurer, MD; Thomas Mencke, MD; Martin Schilling, MD; Thomas Verse, MD; Bernhard Richter, MD |
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| 520 | |a Laryngeal dysfunction after thyroidectomy is a common complication. However, few data are available to differentiate whether these complications result from injury to the recurrent nerve or to the vocal folds from intubation.University medical center.Seven hundred sixty-one patients who underwent surgery to the thyroid gland from 1990 to 2002. Of these patients, 8.4% underwent a revision thyroidectomy.Preoperative and postoperative laryngostroboscopic examination.Laryngostroboscopic evaluation of laryngeal complications.The overall rate of laryngeal complications was 42.0% (320 patients). Complications from an injury to the vocal folds occurred in 31.3% of patients. Weakness or paresis of the recurrent nerve was initially present in 6.6% and was related to the nerves at risk. This rate was higher in revision thyroidectomies than in primary surgical interventions (6.2% vs 11.6%; P = .04). The rate of laryngeal injuries was higher in patients older than 65 years (39.8% vs 30.8%; P = .03).These data suggest that laryngeal complications after thyroidectomies are primarily caused by injury to the vocal folds from intubation and to a lesser extent by injury to the laryngeal nerve. We recommend documentation of informed consent, especially for patients who use their voice professionally, such as singers, actors, or teachers.Arch Surg. 2009;144(2):149-153--> | ||
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