[Voice, laryngeal nerves and thyroid surgery. Anatomic and clinical study. Results apropos of a homogeneous series of 378 interventions].
The authors report their experience of thyroidectomy on the basis of 378 excisions (230 bilateral procedures). Their surgical attitude limiting nerve dissection is supported by pathological findings in 24 specimens injected with latex, emphasising the importance of the medial lateral thyrotracheal ligament as a marker. Postoperative laryngoscopy revealed 11 cases of nerve damage (8 recurrent laryngeal nerve, 3 lateral laryngeal nerve). This affected 1.3% of the recurrent laryngeal nerves and 0.57% of the lateral laryngeal nerves exposed. The lack of routine laryngoscopic follow up undoubtedly led to underestimation of the prevalence but the number of recurrent node excisions in this group undoubtedly led to overestimation.
D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D061224:Laryngeal Nerve Injuries; D007828:Laryngoscopy; D011183:Postoperative Complications / Q000175:diagnosis; D013959:Thyroid Diseases / Q000601:surgery*; D013965:Thyroidectomy / Q000379:methods*; D014831:Voice; D014832:Voice Disorders / Q000175:diagnosis; D014833:Voice Quality
Voix, nerfs laryngés et chirurgie thyroïdienne. Etude anatomique et clinique. Résultats à propos d'une série homogène de 378 interventions.