[Advantages of systematic recurrent laryngeal nerve resection during thyroid surgery. Results of 422 thyroidectomies employing this procedure (author's transl)].
Thyroidectomy for different thyroid disorders was conducted in 422 patients during 1978, after normal pre-operative laryngoscopy findings. Dissection of the recurrent laryngeal nerve was employed systematically in all patients except those having isthmectomy or enucleation operations, with a total number of 556 nerves dissected. Pre-and post-operative laryngoscopic examinations in the alert patient was conducted in all cases. After one year, 8% of the patients with abnormal post-operative laryngoscopic findings had not returned for follow-up. The known rate of recurrent nerve paralysis after one year was 0.7% of the nerves exposed, the maximum rate being 2% if patients not followed-up are included. These results confirm the value of systematic recurrent nerve dissection during thyroid surgery.
D006801:Humans; D007823:Laryngeal Nerves / Q000601:surgery*; D010243:Paralysis / Q000175:diagnosis; D011183:Postoperative Complications / Q000175:diagnosis; D013959:Thyroid Diseases / Q000601:surgery*; D013965:Thyroidectomy
Valeur de la dissection systématique du nerf récurrent en chirurgie thyroïdienne: 428 thyroäidectomies en 1978.