[Long-term laryngoscopic follow-up in vocal cord paralysis following struma surgery].
Of 525 patients 17 (3.2%) showed a laryngoscopically established palsy of the recurrent laryngeal nerve after surgery due to goiter. A laryngoscopic follow-up of all these patients, performed at least one year after the operation, revealed that 76.5% of the recurrent nerve palsies were temporary and 23.5% were permanent. Danger of permanent palsy increased in the sequence--uncomplicated nodular goiter--struma maligna--recurrent goiter. The outcome of long-term follow-up showed a palsy rate of 0.8%, which was much lower than the corresponding rate reported by short-term control (p = 0.005). Therefore laryngoscopic long-term follow-up in cases of postoperative abnormal laryngoscopic function should be a standard part of follow-up in thyroid gland surgery.
Weitensfelder
W
W
Chirurgische Abteilung, Landeskrankenhauses Klagenfurt.
Lexer
G
G
Aigner
H
H
Fellinger
H
H
Trattnig
J
J
Grünbacher
G
G
D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006042:Goiter / Q000601:surgery*; D006801:Humans; D007828:Laryngoscopy; D008297:Male; D011183:Postoperative Complications / Q000503:physiopathology*; D012009:Recurrent Laryngeal Nerve / Q000503:physiopathology; D061226:Recurrent Laryngeal Nerve Injuries; D012307:Risk Factors; D013964:Thyroid Neoplasms / Q000503:physiopathology; D013965:Thyroidectomy; D014826:Vocal Cord Paralysis / Q000503:physiopathology*
Die langfristige laryngoskopische Nachkontrolle bei Einschränkung der Stimmbandmotilität nach Strumaoperation.