Home contents
2017
   N# 1 | 2 | 3 |
2016
   N# 1 |
2015
   N# 1 | 2 | 3 | 4 | 5 |
2014
   N# 1 | 2 | 3 | 4 | 5 |
2013
   N# 1 | 2 | 3 | 4 | 5 |
2012
   N# 1 | 2 | 3 | 4 | 5 |
2011
   N# 1 | 2 | 3 | 4 | 5 |
2010
   N# 1 | 2 | 3 | 4 | 5 |
2009
   N# 1 | 2 | 3 | 4 | 5 |
2008
   N# 1 | 2 | 3 | 4 | 5 |
2007
   N# 1 | 2 | 3 | 4 | 5 |
2006
   N# 1 | 2 | 3 | 4 | 5 |
2005
   N# | 1 | 2 | 3 | 4 | 5 |
2004
   N# 1 | 2 | 3 | 4 | 5 |
2003
   N# 1 | 2 | 3 | 4 | 5 |
2002
   N# 1 | 2 | 3 | 4 | 5 |
2001
   N# 1 | 2 | 3 | 4 | 5 |
2000
   N# | 1 | 2 | 3 | 4 | 5 |
1999
   N# 1 | 2 | 3 | 4 | 5 |
1998
   N# 1 | 2 | 3 | 5 |
1997
   N# 1 | 2 | 3 | 4 | 5 |
1996
   N# 4 | 5 |

Click on the number of the review to see the content
Teaching bulletin CME
List of all teaching bulletins CME.
Editor reading committee
Editor reading committee.
To publish...
Instructions for authors
Archives Press and Books
Select of books and press articles.
Mailing list
News information letter.
Subscription prices


If you wish to adjust the size of the displayed characters, click in the high menu on "Your account" and choose the desired size.



  Contents > Previous page > Article detail print Order
o Issue N# 1 - 2011 o

PHONIATRICS

Unilateral laryngeal paralysis after intra capsular lobo­isthmectomy without laryngeal nerve dissection


Authors : Laccourreyre O, Gorphe Ph, Menard M, Cauchois R, Badoual C. (Paris)

Ref. : Rev Laryngol Otol Rhinol. 2011;132,1:45-49.

Article published in french
Downloadable PDF document french



Summary : Objectives: To document the incidence, outcome and variables that increase the risk for unilateral laryngeal paralysis after loboisthmectomy performed according to the intracapsular dissection technique. Materials and methods: A retrospective analysis of an inception cohort of 317 loboisthmec­tomies conse­cu­tively performed at a single institution by the same surgeon during the years 2002-2007 using the intra capsular dissection without laryngeal nerve dissection, neuro­monitoring and modern hemostasis techniques (Ligasure, Ultracision). The immediate and definite rate for unilateral laryngeal nerve paralysis is docu­men­ted. A statistical analysis is performed for potential relation between these events and the following variables : age, gender, co­mor­bidity, tracheal com­pres­­sion and intra­­thoracic charac­te­ristics of the thyroid lesion, side of the loboisthmectomy, etiology of the thyroid lesion (benign, mali­gnant, hyperthyroidy), asso­cia­ted thyroiditis, size of the largest resected nodule and weight of the resected lobe. Results: The immediate unilateral laryngeal nerve paralysis incidence was 1,2%. Recovery of motion occur­red by the 1st, 3rd, 5th or 9th post operative month resulting in a 0% incidence for definitive unilateral laryngeal nerve paralysis. No significant statistical relation was noted between immediate unilateral laryngeal nerve paralysis and the variables under analysis. Conclusion: Based on the current series and the review of the medical literature, it appears that the loboisthmectomy accor­ding to the intra capsular technique without inferior laryn­geal nerve identification, in patients not previously operated, perfor­med according to is a surgical technique whose goal is to ascent the thyroid lobe and dissect the region of the nerve pene­tra­tion within the larynx by the end of the resection, does not increase the risk for transient or permanent unilateral laryngeal nerve paralysis.

Price : 10.50 €      order
|


Subscribe online - Pay by credit card!


© Copyright 1999-2018 - Revue de Laryngologie   Réalisation - Hébergement ELIDEE