Laryngeal complications after thyroidectomy

• Verfasst von: Echternach, Matthias [VerfasserIn]
• Verfasst von: Maurer, Christoph [VerfasserIn]
• Verfasst von: Mencke, Thomas [VerfasserIn]
• Verfasst von: Schilling, Martin [VerfasserIn]
• Verfasst von: Verse, Thomas [VerfasserIn]
• Verfasst von: Richter, Bernhard [VerfasserIn]
• Titel: Laryngeal complications after thyroidectomy
• Titelzusatz: is it always the surgeon?
• Verf.angabe: Matthias Echternach, MD; Christoph Maurer, MD; Thomas Mencke, MD; Martin Schilling, MD; Thomas Verse, MD; Bernhard Richter, MD
• E-Jahr: 2009
• Jahr: February 16, 2009
• Umfang: 5 S.
• Fussnoten: Gesehen am 23.06.2022
• Titel Quelle: Enthalten in: Archives of surgery
• Ort Quelle: [Chicago, Ill.] : Assoc., 1920
• Jahr Quelle: 2009
• Band/Heft Quelle: 144(2009), 2, Seite 149-153
• ISSN Quelle: 1538-3644
• DOI: doi:10.1001/archsurg.2008.530
• Datenträger: Online-Ressource
• Sprache: eng
• Bibliogr. Hinweis: Erscheint auch als : Druck-Ausgabe: Laryngeal complications after thyroidectomy. - 2009
• K10plus-PPN: 1807544648

Abstract

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-->