Damage to the recurrent laryngeal nerve. Paralysis of vocal cords and larynx, bilateral
Conditions
Interventions
Intervention 1: Intervention group: On one side of the patient's neck during thyroidectomy, the recurrent laryngeal nerve (RLN) is systematically and completely exposed. Using standard thyroid surgery
Sponsors
Qazvin University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Patients over 18 years of age who undergo thyroidectomy (partial or total) due to benign or malignant thyroid diseases. Patients who are able to undergo pre- and postoperative laryngoscopy. Informed consent of the patient to participate in the study and acceptance of the surgical procedure according to the study group (visual identification or IONM). Possibility of following patients for at least 30 days after surgery to assess nerve damage.
Exclusion criteria
Exclusion criteria: Patients with previous recurrent laryngeal nerve damage or chronic voice disorders. Patients who require concurrent surgery of the neck or adjacent areas, which can complicate the diagnosis of recurrent laryngeal nerve (RLN) injury. Patients who are unable to undergo postoperative laryngoscopy for any reason. Patients with neurological or muscular diseases that affect vocal cord function (such as myasthenia gravis or cranial nerve palsy). Patients who did not sign the study consent form or who withdrew from long-term follow-up.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Occurrence of recurrent laryngeal nerve palsy. Timepoint: Immediately after surgery (in the operating room) and 30 days after surgery (to determine whether it is temporary or permanent). Method of measurement: Evaluation of vocal cord function using direct laryngoscopy by the surgeon. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactSaman Afrasiabi
Qazvin University of Medical Sciences
Outcome results
None listed