Autor: |
Moruskar, Aditi, Kahane, Kaustubh J., Pise, Shagun, Kakade, Aniruddha |
Předmět: |
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Zdroj: |
Indian Journal of Basic & Applied Medical Research; Dec2019, Vol. 9 Issue 1, p87-94, 8p |
Abstrakt: |
Introduction: The exact incidence of recurrent laryngeal nerve injury is unknown 2. Different studies have reported varying prevalence (0-14%).[2-4] This difference in complication rates may reflect variation in surgical experience or number of surgeries performed at a particular center. Routine visual identification of the RLN has been shown to result in a lower incidence of RLN injury in multiple studies. Methodology: This prospective, observational study was carried out in the Department of ENT, Armed Forces Medical College, Pune, Maharashtra, a tertiary care centre. All patients were admitted and thorough clinical, biochemical and histopathological evaluations were done. Indirect laryngoscopy was done in each patient to assess the status of vocal cords. Patients were prepared for operation and all necessary routine investigations for thyroid surgery were carried out. Results & Conclusion: RLN injury is an annoying complication of thyroid surgery. This can be avoided, if surgery is performed by experienced surgeons and more care should be taken while doing surgery on huge sized goiter and during extensive surgery like total thyroidectomy. Majority of nerve lesions are transient which shows recovery within six months of surgery. Definitive procedures for corrective treatment of RLN injury should not be considered for at least six months after surgery. [ABSTRACT FROM AUTHOR] |
Databáze: |
Complementary Index |
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