Predictors and consequences of recurrent laryngeal nerve injury during open thyroidectomy: An American College of Surgeons National Surgical Quality Improvement Project database analysis

BackgroundRecurrent laryngeal nerve (RLN) injury is a serious complication of thyroidectomy. The purpose this study to determine the predictors and consequences RLN during thyroidectomy.MethodsA retrospective analysis was conducted using ACS-NSQIP 2016–2017 main thyroidectomy targeted procedure databases. Data analyzed by multivariate logistic regression resulting in risk-adjusted odds ratios morbidity/mortality.ResultsAge ≥65, black race, neoplastic indication, total or subtotal thyroidectomy, concurrent neck surgery, operation time > median, hypoalbuminemia, anemia were associated with injury. Use intraoperative monitoring decreased injuries. risk factor for overall morbidity, hypocalcemia, hematoma, pulmonary readmission, reoperation, length stay median.ConclusionSeveral are identified, while use increased postoperative complications.