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European Archives of Oto-Rhino-Laryngology

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01-04-2020 | Thyroidectomy | Head and Neck

Risk factors predisposing for recurrent laryngeal nerve palsy following thyroid malignancy surgery: experience from a tertiary oncology centre

Authors: Supreet Singh Nayyar, Shivakumar Thiagarajan, Akshat Malik, Adhara Chakraborthy, Parthiban Velayutham, Devendra Chaukar

Published in: European Archives of Oto-Rhino-Laryngology | Issue 4/2020

Abstract

Background

Postoperative recurrent laryngeal nerve (RLN) palsy is one of the major morbidities encountered after thyroid surgery. The risk further increases when surgery is performed for thyroid malignancies.

Methodology

A retrospective study of patients who underwent hemi, total or completion thyroidectomy at our institute between June 2017 to May 2019 were analyzed. We assessed factors that predisposed to the development of RLN palsy.

Results

The study comprised of 228 patients. A total of 400 nerves were at risk. The RLN palsy rate was 6.8% (n = 27). On univariate and multivariate analysis, the risk of RLN palsy was seen most with pT4a tumor (OR = 8.5), gross extra-thyroidal extension (ETE) (OR = 3.5) and tracheo-esophageal groove (TEG) (OR = 2.8) involvement, followed by aggressive histopathology, and central compartment node positivity.

Conclusion

pT4a tumors, gross ETE, and TEG involvement were the leading causes predisposing for the development of RLN palsy in our series.

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Title: Risk factors predisposing for recurrent laryngeal nerve palsy following thyroid malignancy surgery: experience from a tertiary oncology centre
Authors: Supreet Singh Nayyar
Shivakumar Thiagarajan
Akshat Malik
Adhara Chakraborthy
Parthiban Velayutham
Devendra Chaukar
Publication date: 01-04-2020
Publisher: Springer Berlin Heidelberg
Keywords: Thyroidectomy
Thyroidectomy
Published in: European Archives of Oto-Rhino-Laryngology / Issue 4/2020
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-020-05788-0

At a glance: The STEP trials

Springer Medicine

Risk factors predisposing for recurrent laryngeal nerve palsy following thyroid malignancy surgery: experience from a tertiary oncology centre

Abstract

Background

Methodology

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methodology

Results

Conclusion

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