Management of the exterior branch of the superior laryngeal nerve among thyroid surgeons – Results from a nationwide survey

Almquist, Martin; Nordenström, Erik

doi:10.1016/j.ijsu.2015.06.022

Cited by 3 publications

(2 citation statements)

References 19 publications

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“…It allows the identification of vocal fold palsy with the remark of the ipsilateral RLN paralysis. The same technique is available for identifying the EB-SLN paralysis testified by a reduced tension of vocal folds [51,52]. When a paralysis of a laryngeal nerve is identified, a treatment can be established.…”

Section: Diagnostic Toolsmentioning

confidence: 99%

Swallowing disorders after thyroidectomy: What we know and where we are. A systematic review

Scerrino

Tudisca

Bonventre

et al. 2017

International Journal of Surgery

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Introduction Dysphagia and hoarseness are possible complications that can be observed in patients undergoing thyroidectomy or other neck surgery procedures. These complaints are usually related to superior and inferior laryngeal nerves dysfunction, but these can appear even after uncomplicated surgical procedure. Methods We reviewed the current literature available on MEDLINE database, concerning the swallowing disorders appearing after the thyroidectomy. The articles included in the review reported pathophysiology and diagnostic concerns. Results Twenty articles were selected for inclusion in the review. Depends on the possible causes of the difficulty swallowing (related to nerve damage or appearing after uncomplicated thyroidectomy), different types of diagnostic procedures could be used to study patient discomfort, as well as intraoperative nerve monitoring, fiber optic laryngoscopy, endoscopy, pH monitoring, esophageal manometry and videofluorography. Among all these procedures, videofluorography is considered the gold standard to evaluate the entire swallowing process, since that allows a real-time study of all the three phases of swallowing: oral phase, pharyngeal phase and esophageal phase. Conclusion The diagnostic procedures described can help to identify the mechanisms involved in swallowing disorders, with the aim to choose the best therapeutic option. More studies are needed for understanding the causes of the dysphagia appearing after thyroidectomy

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Section: Diagnostic Toolsmentioning

confidence: 99%

Swallowing disorders after thyroidectomy: What we know and where we are. A systematic review

Scerrino

Tudisca

Bonventre

et al. 2017

International Journal of Surgery

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“…Moreover, the damaging of the RLN, with the consequent voice loss, could have serious implications to the individual's life routine, job and psychology. An observational study, surveying among others the attempt of endocrine surgeons to preserve branches of the laryngeal nerve and their perception of its importance, reports that 90% of them try to preserve it, although only half of them try to identify it (7). Endocrine surgeons reported that they find it very important to preserve the RLN and they usually employ IONM for this purpose.…”

Section: Discussionmentioning

confidence: 99%

Do surgeons really know how to perform neuromonitoring in thyroid surgery? An awareness study

Pliakos¹,

Papavramidis²

2021

Gland Surg

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Background: The aim of this questionnaire-based observational study is to examine the awareness of endocrine surgeons regarding the use of intraoperative neuromonitoring (IONM) techniques in thyroid surgeries.Methods: A survey project based on a structured questionnaire was conducted during the 14 th Spring Meeting of the Greek Society of Endocrine Surgeons (GSES). The questionnaire consisted of 14 items and was handed to all participants-by the key speaker-during the neuromonitoring session.Results: In the 14 th spring meeting of GSES there were 205 delegates present. Among them there were 35 residents and 6 medical students. The surgeons being potential responders were 119. In the session of IONM, there were 83 eligible surgeons present and the questionnaire was answered voluntarily by 59 of them (71.08%). The responders' group consisted of 26 members of the GSES and 33 non-members.Conclusions: Most of the participants believed that there are many benefits in the use of IONM such as anatomically identifying the branches of the laryngeal nerve, monitoring their functionality or offering to patients' greater confidence to the surgery. Attention should be paid not to abandon the conventional techniques for identifying the laryngeal nerve, as IONM may not always be available. Evidence is needed to establish the proper indications for its application.

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Intraoperative Nerve Monitoring in Thyroid Operations

Almquist

2023

Controversies in Thyroid Nodules and Differentiated Thyroid Cancer

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Management of the exterior branch of the superior laryngeal nerve among thyroid surgeons – Results from a nationwide survey

Abstract: Management of the external branch of the superior laryngeal nerve differed according to surgeon specialisation, which in turn was associated with surgical volume.

Cited by 3 publications

References 19 publications

Swallowing disorders after thyroidectomy: What we know and where we are. A systematic review

Swallowing disorders after thyroidectomy: What we know and where we are. A systematic review

Do surgeons really know how to perform neuromonitoring in thyroid surgery? An awareness study

Intraoperative Nerve Monitoring in Thyroid Operations

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