Incidence of Recurrent Laryngeal Nerve Injury in Total Thyroidectomy Done for Multinodular Goitre
نویسنده
چکیده
Objectives To study the incidence of recurrent laryngeal nerve (RLN) palsy in Total thyroidectomy done for multinodular goitre. Surgical safety of total thyroidectomy in Multinodular goitre and type of vocal cord paralysisstudied. Voice changes in immediate post-operative period and within three weeks following total thyroidectomy are assessed. Materials &Methods: A prospective, longitudinal and an observational study. Patients between 18 and 65 years of age with multinodular goitre considered for study. Study conducted in hospitals attached to Kasturba Medical College, Mangalore. Pre op evaluation indirect laryngoscopy(IDL) to visualise B/L vocal cord movements was done. Postoperative voice changes and vocal cord mobility noted in immediate post op, postoperative day 3 and 3weeks following surgery. Results: During the study period 76 patients underwent total thyroidectomy for multinodular goitre. In the current study percentage proportion of hoarseness observed in total thyroidectomy done for Multinodular Goitre out of 76 subjects was 14.47% (11 patients). Unilateral palsy noticed by abnormal vocal cord movements in IDL (indirect laryngoscopy) was noted in 2 subjects out of 76 patients. Percentage proportion of temporary Recurrent Laryngeal Nerve Paralysis (RLN paralysis) presented in total thyroidectomy done in Multinodular Goitre out of 76 subjects was 2.6% (2 patients) while permanent paralysis incidence was nil. None of study subjects had stridor or laryngeal obstruction requiring tracheostomy. Conclusion: Total Thyroidectomy done for Multinodular Goitre is a safe procedure with minimal incidence of recurrent laryngeal nerve injury. Total Thyroidectomy for Benign Multinodular Goitre can be done as procedure of choice in all patients with minimal risks and nil recurrence rates.
منابع مشابه
The efficacy and safety of total thyroidectomy in the management of benign thyroid disease: a review of 932 cases.
BACKGROUND Total thyroidectomy is currently the preferred treatment for thyroid cancer, multinodular goitre and Graves disease; however, many surgeons choose not to perform total thyroidectomy to treat benign thyroid diseases owing to the associated risk of postoperative hypoparathyroidism and recurrent laryngeal nerve damage. We reviewed 932 total thyroidectomies performed for benign thyroid d...
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Background & Aims: Surgeons are not willing to participate in thyroid surgeries due to dangerous, although rare, complications of the procedure. Post thyroidectomy complications are divided in early and late onset; hypocalcemia, bleeding, thyroid storm and recurrent laryngeal nerve (RLN) injury are the most important ones. This study was performed to compare the frequency of recurrent laryngeal...
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BACKGROUND Both Total and Subtotal Thyroidectomy are correct treatment options for symptomatic Euthyroid Multinodular Goitre. The choice depends upon surgeon's preference due to consideration of disadvantages like permanent hypothyroidism in Total Thyroidectomy and high chances of recurrence in Subtotal Thyroidectomy. Many surgeons believe that there is a higher incidence of Recurrent Laryngeal...
متن کاملTotal thyroidectomy as primary elective procedure in multinodular thyroid disease.
BACKGROUND Multinodular goitre is one of the commonest thyroid diseases encountered in the practice of surgery. The most common surgery being performed for multinodular goitre is subtotal thyroidectomy. Total thyroidectomy is designed to remove all of the thyroid tissue. The objective of this study was to evaluate total thyroidectomy as a primary elective procedure for treatment of multinodular...
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INTRODUCTION Total thyroidectomy as a treatment for simple multinodular goitre is not well recognised in most centres in low middle income countries. METHOD This paper is a retrospective review of outcomes of total thyroidectomy for simple multinodular goitres in the last fifteen years in a tertiary hospital in Nigeria. RESULTS A total of 652 thyroidectomies were done from January 2001 to D...
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