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Zakhokhov R.M.

Berbekov Kabardino-Balkarian State University

Tlupova T.G.

Berbekov Kabardino-Balkarian State University

Zhurtova I.B.

Berbekov Kabardino-Balkarian State University

Mukaev A.A.

Berbekov Kabardino-Balkarian State University

Bakov Z.N.

Berbekov Kabardino-Balkarian State University

Teuvazhukova D.A.

Berbekov Kabardino-Balkarian State University

Efficacy of prevention of recurrent laryngeal nerve injury in thyroid surgery

Authors:

Zakhokhov R.M., Tlupova T.G., Zhurtova I.B., Mukaev A.A., Bakov Z.N., Teuvazhukova D.A.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2024;(7): 85‑91

DOI: 10.17116/hirurgia202407185

Read: 1198 times

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Table of contents

EFFICACY OF PREVENTION OF RECURRENT LARYNGEAL NERVE INJURY IN THYROID SURGERY
EFFICACY OF PREVENTION OF RECURRENT LARYNGEAL NERVE INJURY IN THYROID SURGERY

To cite this article:

Zakhokhov RM, Tlupova TG, Zhurtova IB, Mukaev AA, Bakov ZN, Teuvazhukova DA. Efficacy of prevention of recurrent laryngeal nerve injury in thyroid surgery. Pirogov Russian Journal of Surgery. 2024;(7):85‑91. (In Russ.)
https://doi.org/10.17116/hirurgia202407185

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To evaluate the effectiveness of prevention of recurrent laryngeal nerve injury depending on thyroid gland lesion and extent of surgery.

MATERIAL AND METHODS

There were 2412 thyroid surgeries between 2000 and 2020. Patients were divided into the main group (1689 patients) and the control group (729 patients). Patients with nodular thyroid gland lesions prevailed in both groups (987 (58.4%) and 415 (56.9%), respectively). All ones underwent atraumatic extrafascial desection and thyroid resection (ultrasonic scalpel).

RESULTS. T

He upper laryngeal nerve injury occurred in 35 cases (1.4%). The number of surgeries with thyroid remnant preservation was significantly lower in the main group. The number of procedures with subtotal thyroid resection and thyroidectomy increased by 2.4 times (from 414 to 1010 operations, p<0.05).

CONCLUSION

Improvement of surgical treatment of thyroid gland lesions consisting in new operative technique of recurrent laryngeal nerve isolation using ultrasonic scalpel reduces the incidence of recurrent laryngeal nerve injury from 2.3% to 1%. At the same time, the number of extended procedures in the main group significantly exceeded that in the control group (by 2.5 times).

Keywords:

thyroid gland
recurrent laryngeal nerve injury
postoperative morbidity
dysphonia

Authors:

Zakhokhov R.M.

Berbekov Kabardino-Balkarian State University

Tlupova T.G.

Berbekov Kabardino-Balkarian State University

Zhurtova I.B.

Berbekov Kabardino-Balkarian State University

Mukaev A.A.

Berbekov Kabardino-Balkarian State University

Bakov Z.N.

Berbekov Kabardino-Balkarian State University

Teuvazhukova D.A.

Berbekov Kabardino-Balkarian State University

Received:

21.10.2023

Accepted:

22.01.2024

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References:

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