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Clinical application of exposing the recurrent laryngeal nerve(RLN)on thyroid surgery:Report of 247 cases

Zhang Ku

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Abstract

Objective To explore significance of exposing the recurrent laryngeal nerve(RLN)in thyroid surgery.Methods The clinical data of 423 patients who underwent thyroidectomy were analyzed retrospectively.The RLN was exposed in 247 cases,and 176 cases were traditional without the exposing of the RLN.Results There was one case with RLN temporary injury and no permanent injury(0.4%)in the group of exposing RLN.In the traditional group there were seven cases with RLN temporary injury and three cases with premanent injury(5.7%).The difference between two groups was significant(P0.05).Conclusion Exposing and protecting RLN in the thyroidectomy is an efficient method to prevent the RLN injury,especially the permanent damage.

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What this paper is about

Objective To explore significance of exposing the recurrent laryngeal nerve(RLN)in thyroid surgery.Methods The clinical data of 423 patients who underwent thyroidectomy were analyzed retrospectively.The RLN was exposed in 247 cases,and 176 cases were traditional without the exposing of the RLN.Results There was one case with RLN temporary injury and no permanent injury(0.4%)in the group of exposing RLN.In the traditional group there were seven cases with RLN temporary injury and three cases with premanent injury(5.7%).The difference between two groups was significant(P0.05).Conclusion Exposing and protecting RLN in the thyroidectomy is an efficient method to prevent the RLN injury,especially the permanent damage.

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Available abstract

Objective To explore significance of exposing the recurrent laryngeal nerve(RLN)in thyroid surgery.Methods The clinical data of 423 patients who underwent thyroidectomy were analyzed retrospectively.The RLN was exposed in 247 cases,and 176 cases were traditional without the exposing of the RLN.Results There was one case with RLN temporary injury and no permanent injury(0.4%)in the group of exposing RLN.In the traditional group there were seven cases with RLN temporary injury and three cases with premanent injury(5.7%).The difference between two groups was significant(P0.05).Conclusion Exposing and protecting RLN in the thyroidectomy is an efficient method to prevent the RLN injury,especially the permanent damage.

Key concepts: Medicine, Recurrent laryngeal nerve, Surgery, Thyroid, Thyroidectomy, Iatrogenic injury, Anesthesia, Internal medicine

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