[Recurrent nerve paralysis following thyroid surgery (author's transl)].
Following a brief review of anatomical features, the risk of injury to the recurrent nerve is discussed as a function of the type of operation performed: subtotal thyroidectomy, ablation of a retrosternal goitre, lobectomy, and total thyroidectomy. Particular attention has to be paid to the risk of anomaly in the nerve pathway: early division or a nerve branching directly from the Xth nerve without a recurrent pathway. Paralysis may be due to simple stretching of the nerve, when regression occurs in approximately three months. Paralysis of the recurrent nerve occurred in 1.69% of cases (7 definite, including 2 of necessity), in a series of 1 184 recurrent nerve exposures.
D006045:Goiter, Substernal / Q000601:surgery; D006801:Humans; D007431:Intraoperative Complications; D012009:Recurrent Laryngeal Nerve / Q000002:abnormalities / Q000033:anatomy & histology; D061226:Recurrent Laryngeal Nerve Injuries; D013961:Thyroid Gland / Q000601:surgery*; D013964:Thyroid Neoplasms / Q000601:surgery; D013965:Thyroidectomy / Q000009:adverse effects*; D014826:Vocal Cord Paralysis / Q000209:etiology*
Les paralysies récurrentielles au cours de la chirurgie du corps thyroïde.