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Title: Management of unilateral recurrent laryngeal nerve injury after thyroid surgery: A review
Authors: Lynch J.
Parameswaran R. 
Keywords: palsy
recurrent laryngeal nerve
Issue Date: 1-Jul-2017
Publisher: John Wiley and Sons Inc.
Citation: Lynch J., Parameswaran R. (2017-07-01). Management of unilateral recurrent laryngeal nerve injury after thyroid surgery: A review. Head and Neck 39 (7) : 1470-1478. ScholarBank@NUS Repository.
Abstract: Background: Recurrent laryngeal nerve (RLN) damage because of thyroid and parathyroid surgery has been recognized for over a century. Injury rates have been slowly decreasing in this period while effective treatment strategies have been increasing. Methods: Recent literature was evaluated on the topics of anatomy, pathophysiology, avoidance, and conservative and surgical treatment of RLN injury. Data for this literature review were identified by PubMed and references from relevant articles using the search terms �thyroid,� �laryngeal nerve,� and �injury.� Only articles published in English between 1990 and 2015 were included. Results: Advances in technique and equipment have made injury less likely. The evidence and role for neuromonitoring is discussed. Treatment strategies may include speech therapy, vocal cord augmentation using injection, laryngeal framework surgery techniques (including laryngoplasty and arytenoid adduction), and reinnervation. Conclusion: Injury rates in specialist centers are very low. Good to excellent results may be obtained in most cases. � 2017 Wiley Periodicals, Inc.
Source Title: Head and Neck
ISSN: 10433074
DOI: 10.1002/hed.24772
Appears in Collections:Staff Publications

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