Background: Depending on the type and pathology of the goitre, thyroidectomies are frequently conducted surgical operations that involve the partial or whole removal of the gland. The Recurrent Laryngeal Nerve Injury (RLNI) accounts for about half of all thyroid surgical complications. One of the main issues in thyroid surgery is vocal cord paresis or paralysis brought on by iatrogenic injury to the recurrent laryngeal nerve. Even though numerous methods have been developed to prevent nerve damage, 1.5–14% of cases of recurrent laryngeal nerve palsy still occur. This study aims to estimate the recurrent laryngeal nerve palsy in relation to various thyroid surgery types and indications. An analysis of 705 individuals who underwent thyroid surgery at Al-Sadder Teaching Hospital and Al-Ameer Private Hospital in Najaf, Iraq, and had various types of goitres. The present analysis is based on the experience of a single surgeon from 1 October 2007 to 30 June 2018, with a mean follow-up time of 37 months. For a variety of reasons, 705 people underwent various thyroidectomies. Most patients have benign multinodular goitres (67.4 percent). Surgical indications for toxic multinodular goitres that have been seen in (19.15 percent). Malignancy was seen in 14.3% of cases, while Hashimoto's thyroiditis and Grave's disease were the least common surgical indications in our sample (7.6% and 3.4%, respectively). Patients with recurrent goitres suffer temporary recurrent laryngeal nerve damage in (0.69%) of subtotal surgery rising to (10%) (p=0.05). Overall, there were 0.99% permanent recurrent laryngeal nerve injuries, with subtotal injuries ranging from 0% to 5% (p=0.027) in patients of recurring goitres. Even though partial thyroidectomy is linked to a low probability of recurrent laryngeal nerve injury, total thyroidectomy is recommended since it will decrease the need for repeat surgery, which is accompanied by a significantly greater rate of nerve injury.
Author(s) Details:
Ali M. AlSaiegh,
Jabir ibn Hayyan Medical University, Najaf, Iraq.
Please see the link here: https://stm.bookpi.org/CPMS-V9/article/view/8017
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