Are diabetic patients at a greater risk to develop a vocal fold palsy during thyroid surgery than nondiabetic patients?

Schlosser, Katja; Maschuw, Katja; Hassan, I.; Karakas, Elias; Sebastian, Hoffmann; Slater, Emily P.; Rothmund, M.; Fernández, Emilio Domínguez

doi:10.1016/j.surg.2007.10.003

Cited by 8 publications

(10 citation statements)

References 25 publications

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“…Unlike previous studies, age, sex and history of diabetes were not significant predictors or risk factors. 5,13,21 In contrast to a recent study which found up to one third of patients scheduled for elective thyroidectomy had at least one LPC found on FL with some requiring surgical intervention before and during thyroidectomy, 9 the incidence of incidental LPC in our cohort was significantly less (7/302 or 2.3%) and none required operation before or during thyroidectomy. Our finding appeared consistent to another study which also reported a incidence of 2.1% if other non-specific findings such as pharyngitis and edema had been excluded.…”

Section: Although Some Authors and Management Guidelines Such As The contrasting

confidence: 99%

Evaluating the Incidence, Clinical Significance and Predictors for Vocal Cord Palsy and Incidental Laryngopharyngeal Conditions before Elective Thyroidectomy: Is There a Case for Routine Laryngoscopic Examination?

et al. 2013

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Section: Although Some Authors and Management Guidelines Such As The contrasting

confidence: 99%

Evaluating the Incidence, Clinical Significance and Predictors for Vocal Cord Palsy and Incidental Laryngopharyngeal Conditions before Elective Thyroidectomy: Is There a Case for Routine Laryngoscopic Examination?

et al. 2013

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“…7-11 There have also been many reports that observed a greater incidence of VCP in diabetics, presumably due to RLN neuropathy. 12-17…”

Section: Discussionmentioning

confidence: 99%

Thyroidectomy Complications in Patients with Diabetes Mellitus

Chung

Govindan

Babu

et al. 2019

Otolaryngol.--head neck surg.

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Objective To (1) analyze postoperative thyroidectomy outcomes in patients with diabetes mellitus (DM), who are prone to deleterious effects of glucose dysmetabolism, and (2) apply findings to optimize perioperative management of diabetics requiring thyroid surgery. Study Design Retrospective database analysis. Setting University hospital. Subjects and Methods The National Inpatient Sample was queried using International Classification of Diseases, Ninth Revision, Clinical Modification and Procedure Coding System (PCS) codes for patients with benign or malignant thyroid disease who underwent thyroid surgery between 2002 and 2013. An analysis of demographics, comorbidities, and postoperative outcomes was conducted between a DM vs non-DM cohort using bivariate and multivariate techniques. Results In total, 103,842 cases met inclusion criteria; 14.2% were diabetics. Diabetics had significantly higher rates of baseline comorbid chronic pulmonary disease, hypertension, obesity, and anemia. Following thyroidectomy, patients with DM were more likely to have vocal cord paresis or paralysis compared to non-DM patients (2.0% vs 1.3%; P < .001). However, when adjusting for demographics and comorbidities, there was no significant difference in this complication between the 2 groups. Diabetics had independently higher rates of cardiac, pulmonary, and urinary complications, as well as transfusion, reintubation, and in-hospital mortality. Diabetics had longer hospital stays (2.76 vs 1.97; P < .001) with higher incurred hospital charges (32,921 vs 25,198; P < .001). Conclusion Although DM often confers metabolic and ischemic derangements secondary to hyperglycemia such as neuropathy, this comorbidity was not independently associated with higher rates of vocal cord paresis or paralysis following thyroid surgery. However, DM predicted other adverse outcomes, including greater cardiac, pulmonary, and urinary complications, as well as transfusion, reintubation, and in-hospital mortality.

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“…По данным литературы, одним из факто-ров, предрасполагающих к развитию пареза гортани, является наличие диабетической нейропатии [23]. Встречаемость пареза гор-тани при выполнении рутинной предопера-ционной ларингоскопии при планировании операции на щитовидной или околощито-видных железах может варьировать от 0,25 до 6% [24,25].…”

Section: Discussionunclassified

Is it advisable to perform preoperativelaryngoscopy in all patients due to undergo the thyroid and parathyroid surgery?Analysis of 5172 preoperative laryngoscopies

et al. 2015

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Is it advisable to perform preoperative laryngoscopy in all patients due to undergo the thyroid and parathyroid surgery? Analysis of 5172 preoperative laryngoscopies При ежегодном росте хирургических вмешательств на щитовидной и околощитовидных железах диагностика тако-го серьезного осложнения, как парез гортани, остается актуальной. Основным методом контроля функции гортани является эндоскопическая ларингоскопия. Своевременное выявление нарушения функции гортани в послеопера-ционном периоде позволяет в кратчайшие сроки направить пациента на лечение к специалисту. Однако роль ларингоскопии в предоперационном периоде до сих пор точно не определена. Основным спорным вопросом остается необходимость выполнения предоперационной ларингоскопии всем пациентам с планируемой операци-ей на щитовидной или околощитовидных железах. В данной работе проанализировано 5172 последовательных эндоскопических ларингоскопии. Определена роль предоперационной ларингоскопии при планировании оперативного вмешательства на щитовидной или околощи-товидных железах. Цель. Оценка целесообразности рутинного выполнения ларингоскопии пациентам, которым предстоит оператив-ное вмешательство по поводу заболеваний щитовидной и околощитовидных желез. Материал и методы. В работе представлен анализ результатов предоперационной ларингоскопии у 5172 паци-ентов, которые были госпитализированы в отделение для выполнения оперативного вмешательства на щитовид-ной и околощитовидных железах. Результаты. Односторонний парез гортани был выявлен у 12 (0,23%) из 5172 больных. Пациентов с двусторонним парезом гортани не было. Выводы. Предоперационный парез гортани встречается редко, выполнение рутинной эндоскопической ларинго-скопии всем пациентам, планирующим оперативное лечение на щитовидной или околощитовидных железах, неце-лесообразно.Ключевые слова: парез гортани, операции на щитовидной железе, операции на околощитовидных железах, ларингоскопия, осложнения в эндокринной хирургии.

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Are diabetic patients at a greater risk to develop a vocal fold palsy during thyroid surgery than nondiabetic patients?

Cited by 8 publications

References 25 publications

Evaluating the Incidence, Clinical Significance and Predictors for Vocal Cord Palsy and Incidental Laryngopharyngeal Conditions before Elective Thyroidectomy: Is There a Case for Routine Laryngoscopic Examination?

Evaluating the Incidence, Clinical Significance and Predictors for Vocal Cord Palsy and Incidental Laryngopharyngeal Conditions before Elective Thyroidectomy: Is There a Case for Routine Laryngoscopic Examination?

Thyroidectomy Complications in Patients with Diabetes Mellitus

Is it advisable to perform preoperativelaryngoscopy in all patients due to undergo the thyroid and parathyroid surgery?Analysis of 5172 preoperative laryngoscopies

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