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Prevention of Recurrent Laryngeal Nerve Injury in Total Thyroid Surgery under General Anesthesia

Zhu Guo-hua

Abstract

Objective: To investigate the reasons and prevention of injuries associated with recurrent laryngeal nerve(RLN) in total thyroid surgery under general anesthesia.Method: The clinical data of 169 cases underwent total thyroid surgery under general anesthesia from January 2002 to December 2003 were analyzed retrospectively in our hospital.Result: In 169 patients,there were 7 cases with RLN temporary injury and 1 case permanent injury.Conclusion: A good command of the neck anatomy and the variation of RLN as well as careful operation and methods to expose RLN will provide the key to prevent the RLN injury in thyroid surgery.

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