The site of the Media Sphera Publishers contains materials intended solely for healthcare professionals.
By closing this message, you confirm that you are a certified medical professional or a student of a medical educational institution.

Login
EN
+7 (495) 482-4118
+7 (495) 482-0604
+8 800 101-59-87
  • (toll-free number for subscriptions)
    Mon-Fri from 10 a.m. to 6 p.m.

  • © 1998-2024
+7 (495) 482-43-29
EN
All journals
Journal
Year
Year
Search result: 0

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

Views: 406

Downloaded: 12

Buy for 200₽
Contact the author
Table of contents

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 2025 (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Close metadata
Recommended articles:
Complications and technical aspe­cts of safe tissue dissection in endo­scopic hemi­thyroidectomy. Piro­gov Russian Journal of Surgery. 2024;(9):66-74
Prediction of papi­llary thyroid cancer recu­rrence acco­rding to preoperative data. Piro­gov Russian Journal of Surgery. 2024;(9):76-85
Voice diso­rders asso­ciated with novel coro­navirus infe­ction. Russian Bulletin of Otorhinolaryngology. 2023;(6):30-37
Application of the biofeedback method in the treatment of dysphonia (literature review). Russian Bulletin of Otorhinolaryngology. 2023;(6):67-72
Stru­ctural and functional characteristic of thyroid gland in children and adolescents with alopecia areata by data of labo­ratory and ultrasound examination. Russian Journal of Clinical Dermatology and Vene­reology. 2024;(2):214-220
High-grade enca­psulated follicular cell thyroid carcinomas. Russian Journal of Archive of Pathology. 2024;(5):60-64

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

List of references:

  1. Grintsov AG, Akhrameev VB, Matiytsiv AB. Risk factors of intraoperative complications in benign thyroid diseases and their prevention. Tavricheskiy Mediko-Biologicheskiy Vestnik. 2020;23(2):64-68. (In Russ.). https://doi.org/10.37279/2070-8092-2020-23-2-64-68
  2. Vetshev PS, Yankin PL, Zhivotov VA Poddubnyi EI, Drozhzhin AYu, Prokhorov VD. Faktory riska i prognozirovanie narushenii golosa posle khirurgicheskogo lecheniya zabolevanii shchitovidnoi i okoloshchitovidnykh zhelez. Pirogov Russian Journal of Surgery. 2019;(4):5-15. (In Russ.). https://doi.org/10.17116/hirurgia20190415
  3. Cannizzaro M, Bianco S, Picardo MC, Provenzano D, Buffone A. How to avoid and to manage post-operative complications in thyroid surgery. Updates in Surgery. 2017;69(2):211-215.  https://doi.org/10.1007/s13304-017-0475-3
  4. Shulutko AM, Semikov VI, Gorbacheva AV. Pervyi opyt otsenki funktsii golosovykh svyazok ul’trazvukovym metodom issledovaniya u bol’nykh posle operatsii na shchitovidnoi zheleze. Pirogov Russian Journal of Surgery. 2019;(7):24-28. (In Russ.). https://doi.org/10.17116/hirurgia201907124
  5. Sigal ZM, Surnina OV, Bryndin VV, Sigal OA. Blizhaishie i otdalennye rezul’taty khirurgicheskogo lecheniya ochagovoi patologii shchitovidnoi zhelezy. Vestnik Volgogradskogo gosudarstvennogo meditsinskogo universiteta. 2020;1(73):106-110. (In Russ.). https://doi.org/10.19163/1994-9480-2020-1(73)-106-110
  6. Barbieri A, Prasad ML, Gilani SM. Thyroid tissue outside the thyroid gland: Differential diagnosis and associated diagnostic challenges. Annals of Diagnostic Pathology. 2020;48:151584. https://doi.org/10.1016/j.anndiagpath.2020.151584
  7. Magomedov MM, Osmanov OM. Profilaktika i prognoz povrezhdeniya vozvratnogo gortannogo nerva pri operatsiyakh na shchitovidnoi zheleze. Moskovskii khirurgicheskii zhurnal. 2020;4(74):34-38. (In Russ.).
  8. Lebedeva DV, Il’icheva EA, Grigor’ev EG. Sovremennye aspekty khirurgicheskogo lecheniya diffuznogo toksicheskogo zoba. Sibirskii meditsinskii zhurnal. 2019;158(3):28-35. (In Russ.). https://doi.org/10.34673/ismu.2020.40.59.005
  9. Matveev IA, Sipachev NV, Gibert BK, Payusova TI. Sposoby otsenki priobreteniya opyta pri osvoenii videoassistirovannykh gemitireoidektomii. Pirogov Russian Journal of Surgery. 2019;(9):44-51. (In Russ.). https://doi.org/10.17116/hirurgia201909144
  10. Bakr AA, Hegazy TO, Balamoun HA, Lobos SA. Post-thyroidectomy hypocalcemia and its associated risk factors. Clinical and Experimental Surgery. Petrovsky Journal. 2020;8.4(30):97-103.  https://doi.org/10.33029/2308-1198-2020-8-4-97-103
  11. Dyvak M, Tymets V, Dyvak A, Cegielski M. Information technology for electrophysiological approach of recurrent laryngeal nerve identification during surgery on neck organs. Proceedings of 2018 19th International Conference Computational Problems of Electrical Engineering, CPEE 2018. Banska Stiavnica, 2018. P. 8506940. https://doi.org/10.1109/CPEE.2018.8506940
  12. Brauer PR, Burkey BB, Lamarre ED, Reddy CA. Risk Assessment in Thyroid Lobectomy and Total Thyroidectomy using Over 100 Thousand Cases. Annals of Otology, Rhinology and Laryngology. 2021;130(12):1351-1359. https://doi.org/10.1177/00034894211007219
  13. Khitar’yan AG, Zakhokhov RM Zavgorodnyaya RM, Veliev KS. Mobilizatsiya shchitovidnoi zhelezy s uchetom ee topograficheskikh vzaimootnoshenii. Pirogov Russian Journal of Surgery. 2011;(5):29-31. (In Russ.).
  14. Godlewska PM, Benke E. Stachlewska-Nasfeter. Risk factors of permanent hypoparathyroidism after total thyroidectomy and central neck dissection for papillary thyroid cancer: A prospective study. Endokrynologia Polska. 2020;71(2):126-133.  https://doi.org/10.5603/EP.a2020.0006
  15. Pacini F, Basolo F, Bellantone R, Boni G, Cannizzaro MA, De Palma M, Durante C, Elisei R, Fadda G, Frasoldati A, Fugazzola L, Guglielmi R, Lombardi CP, Miccoli P, Papini E, Pellegriti G, Pezzullo L, Pontecorvi A, Salvatori M, Seregni E, Vitti P. Italian consensus on diagnosis and treatment of differentiated thyroid cancer: joint statements of six Italian societies. Journal of endocrinological investigation. 2018;41(7):849-876.  https://doi.org/10.1007/s40618-018-0884-2
  16. Pamphlett R, Doble PA, Bishop DP. Bishop. Mercury in the human thyroid gland: Potential implications for thyroid cancer, autoimmune thyroiditis, and hypothyroidism. PLoS ONE. 2021;16(2):e0246748. https://doi.org/10.1371/journal.pone.0246748

Close metadata

Contact the author
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.

Email Confirmation

An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.

Email Confirmation

Contact us
If you have any questions, complaints or suggestions, please use this feedback form.
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.
Submit Application

You can become an author of one of our magazines, send a request and we will consider it in during the day.

Name
Phone
E-mail
Message
Login
Registration
E-mail
Password
Forgot Password?

Log in to the site using your account in one of the services

Password recovery
E-mail
Login
Register


We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.