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Risk factors for thyroid surgery-related unilateral vocal fold paralysis
- Source :
- The Laryngoscope
- Publication Year :
- 2018
-
Abstract
- Objectives/Hypothesis We aimed to identify the risk factors for iatrogenic unilateral vocal fold paralysis (UVFP) caused by thyroid surgery, to allow the identification of patients requiring nerve‐protection procedures and monitoring technologies. Study Design Retrospective case study in a medical center. Methods Patients who underwent thyroid surgery from April 2011 to February 2016 and who were diagnosed with UVFP by laryngoscopy and laryngeal electromyography were included. Patient demographics, types of surgery, and characteristics of the thyroid lesions were analyzed. Results Sixty (2.1%) of 2,815 patients who received thyroid surgery developed UVFP. The risk of UVFP was higher in patients over 60 years old (odds ratio, 1.89; 95% confidence interval, 1.01‐3.26; P = .01). Involvement of the external branch of superior laryngeal nerve (EBSLN) occurred in 19 (31.7%) of the 60 UVFP patients, and was more likely to occurr in patients with diabetes mellitus (odds ratio, 14.19; 95% confidence interval, 3.80‐52.94; P
- Subjects :
- Adult
Male
Electromyography
Thyroid Gland
intraoperative nerve monitoring
Middle Aged
Laryngeal Nerve Injuries
Unilateral vocal fold paralysis
Postoperative Complications
Thyroid/Parathyroid
Risk Factors
Monitoring, Intraoperative
Original Reports
Quality of Life
Thyroidectomy
laryngeal electromyography
Humans
Neck Dissection
external branch of superior laryngeal nerve
Female
Thyroid Neoplasms
Vocal Cord Paralysis
thyroid surgery
Retrospective Studies
Subjects
Details
- ISSN :
- 15314995
- Volume :
- 129
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- The Laryngoscope
- Accession number :
- edsair.pmid..........ff0607743e40f76eee38c7aa9fc05794