Study to assess proper timing of laryngoscopy in post-thyroid surgery patients to detect recurrent laryngeal nerve injury

Background: Thyroid surgeries are commonly done nowadays for benign and malignant conditions. Recurrent laryngeal nerve palsy (RLNP) is an important and potentially catastrophic complication of thyroid surgery. The purpose of the study was to determine the impact of rigid endoscopy (Hopkins rod-lens...

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Autores principales:	Tausif Ahmed, Abdur Rahman, Aftab Ahmed, Mehtab Alam, Shruti Chand
Formato:	article
Lenguaje:	EN
Publicado:	Manipal College of Medical Sciences, Pokhara 2021
Materias:	laryngoscopy recurrent laryngeal nerve palsy thyroidectomy timing Medicine R
Acceso en línea:	https://doi.org/10.3126/ajms.v12i12.39105 https://doaj.org/article/4ff16aafbe0b4e8881ff444469fcb80c
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spelling	oai:doaj.org-article:4ff16aafbe0b4e8881ff444469fcb80c2021-12-02T00:23:48ZStudy to assess proper timing of laryngoscopy in post-thyroid surgery patients to detect recurrent laryngeal nerve injuryhttps://doi.org/10.3126/ajms.v12i12.391052467-91002091-0576https://doaj.org/article/4ff16aafbe0b4e8881ff444469fcb80c2021-12-01T00:00:00Zhttps://www.nepjol.info/index.php/AJMS/article/view/39105https://doaj.org/toc/2467-9100https://doaj.org/toc/2091-0576Background: Thyroid surgeries are commonly done nowadays for benign and malignant conditions. Recurrent laryngeal nerve palsy (RLNP) is an important and potentially catastrophic complication of thyroid surgery. The purpose of the study was to determine the impact of rigid endoscopy (Hopkins rod-lens telescope) performed at different time intervals on the diagnosis of RLNP in post-thyroid surgery patients. Aims and Objectives: To assess Proper Timing of Laryngoscopy in Post-thyroid Surgery patients to Detect RLN Injury. Materials and Methods: Rigid endoscopy was performed postoperatively at day 0 (T0), at 2nd day post-op (T1), and day 14 (T2). For patients with RLNP, repeated examinations were performed at 2 months (T3), 6 months (T4), and 12 months (T5). Results: The study included 50 patients of thyroid swelling with different diagnoses. Overall, 35 patients appeared for postoperative laryngoscopic examination of the vocal folds at our center, providing 61 nerves at risk. RLNP rate was 8.1% at T0, 11.5% at T1, 9.8% at T2, 8.1% at T3, 4.9% at T4, and 3.3% at T5. T1 was significantly superior to all other time intervals in terms of diagnosis of RLNP but statistically not significant. Conclusion: Rigid endoscopy is essential for the detection of vocal cord paralysis after thyroidectomy. We report different time evaluation criteria of vocal cord morbidity with great and significant variability of results. Second day post-op inspection of the larynx (T1) is suggested.Tausif Ahmed Abdur Rahman Aftab Ahmed Mehtab Alam Shruti Chand Manipal College of Medical Sciences, Pokharaarticlelaryngoscopyrecurrent laryngeal nerve palsythyroidectomytimingMedicineRENAsian Journal of Medical Sciences, Vol 12, Iss 12, Pp 155-160 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	laryngoscopy recurrent laryngeal nerve palsy thyroidectomy timing Medicine R
spellingShingle	laryngoscopy recurrent laryngeal nerve palsy thyroidectomy timing Medicine R Tausif Ahmed Abdur Rahman Aftab Ahmed Mehtab Alam Shruti Chand Study to assess proper timing of laryngoscopy in post-thyroid surgery patients to detect recurrent laryngeal nerve injury
description	Background: Thyroid surgeries are commonly done nowadays for benign and malignant conditions. Recurrent laryngeal nerve palsy (RLNP) is an important and potentially catastrophic complication of thyroid surgery. The purpose of the study was to determine the impact of rigid endoscopy (Hopkins rod-lens telescope) performed at different time intervals on the diagnosis of RLNP in post-thyroid surgery patients. Aims and Objectives: To assess Proper Timing of Laryngoscopy in Post-thyroid Surgery patients to Detect RLN Injury. Materials and Methods: Rigid endoscopy was performed postoperatively at day 0 (T0), at 2nd day post-op (T1), and day 14 (T2). For patients with RLNP, repeated examinations were performed at 2 months (T3), 6 months (T4), and 12 months (T5). Results: The study included 50 patients of thyroid swelling with different diagnoses. Overall, 35 patients appeared for postoperative laryngoscopic examination of the vocal folds at our center, providing 61 nerves at risk. RLNP rate was 8.1% at T0, 11.5% at T1, 9.8% at T2, 8.1% at T3, 4.9% at T4, and 3.3% at T5. T1 was significantly superior to all other time intervals in terms of diagnosis of RLNP but statistically not significant. Conclusion: Rigid endoscopy is essential for the detection of vocal cord paralysis after thyroidectomy. We report different time evaluation criteria of vocal cord morbidity with great and significant variability of results. Second day post-op inspection of the larynx (T1) is suggested.
format	article
author	Tausif Ahmed Abdur Rahman Aftab Ahmed Mehtab Alam Shruti Chand
author_facet	Tausif Ahmed Abdur Rahman Aftab Ahmed Mehtab Alam Shruti Chand
author_sort	Tausif Ahmed
title	Study to assess proper timing of laryngoscopy in post-thyroid surgery patients to detect recurrent laryngeal nerve injury
title_short	Study to assess proper timing of laryngoscopy in post-thyroid surgery patients to detect recurrent laryngeal nerve injury
title_full	Study to assess proper timing of laryngoscopy in post-thyroid surgery patients to detect recurrent laryngeal nerve injury
title_fullStr	Study to assess proper timing of laryngoscopy in post-thyroid surgery patients to detect recurrent laryngeal nerve injury
title_full_unstemmed	Study to assess proper timing of laryngoscopy in post-thyroid surgery patients to detect recurrent laryngeal nerve injury
title_sort	study to assess proper timing of laryngoscopy in post-thyroid surgery patients to detect recurrent laryngeal nerve injury
publisher	Manipal College of Medical Sciences, Pokhara
publishDate	2021
url	https://doi.org/10.3126/ajms.v12i12.39105 https://doaj.org/article/4ff16aafbe0b4e8881ff444469fcb80c
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Study to assess proper timing of laryngoscopy in post-thyroid surgery patients to detect recurrent laryngeal nerve injury

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