The DOI matches its Crossref record; 1 of the 1 references it cites were found in a registry or an index.
Risk factors of paralysis and functional outcome after recurrent laryngeal nerve monitoring in thyroid surgery
Open accessAbstract
BACKGROUND Recurrent laryngeal nerve monitoring (RLNM) has been suspected to reduce postoperative RLN paralysis (RLNP). However, functional outcome of RLNM in comparison with no nerve identification and visual nerve identification only has not been analyzed. METHODS Analysis of 16,448 consecutive multi-institutional operations resulted in 29,998 nerves at risk. Three groups of different RLN treatment were compared: group 1, no RLN identification; group 2, visual RLN identification; and group 3, visual RLN identification and electromyographic monitoring. RLNM was performed with a bipolar needle electrode that was placed through the cricothyroid ligament into the vocal muscle. RESULTS Risk factors for permanent RLNP were recurrent benign and malignant goiter (odds ratios, [ORs]), 4.7, and 6.7, respectively), primary surgery in thyroid malignancy (OR, 2.0), lobectomy (OR, 1.8), no nerve identification (OR, 1.4), low or medium volume hospital (OR, 1.3), and low volume surgeons (OR, 1.2). CONCLUSIONS Based on these data, visual nerve identification was identified to be the gold standard of RLN treatment in thyroid surgery. RLNM is a promising tool for nerve identification and protection in extended thyroid resection procedures. However, because of the overall low frequency of RLNP, no statistical difference compared with visual nerve identification only was reached in the setting of this study.
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Citations
Cites
The Importance of Surgeon Experience for Clinical and Economic Outcomes From Thyroidectomy
Sosa, J. A., Bowman, H. M., Tielsch, J. M., Powe, N. R., Gordon, T. A., & Udelsman, R. (1998) · Annals of Surgery · doi:10.1097/00000658-199809000-00005 · Cited by 1,118 · cited 2×
“with 5860 patients, surgeon volume (1-9 vs 10-29 vs 30-100 vs >100 cases/year) emerged to be a risk factor, especially when adjusted to more severe diagnoses (thyroid cancer) and more extensive operations.(10) The other study, which evaluated 7266 patients in a multicentric approach, did not disclose any significant r…”
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Cited by
Haugen, B. R., Alexander, E. K., Bible, K. C., Doherty, G. M., Mandel, S. J., Nikiforov, Y. E., Pacini, F., Randolph, G. W., Sawka, A. M., Schlumberger, M., et al. (2016) · Thyroid® · doi:10.1089/thy.2015.0020 · Cited by 16,535
Clinical Practice Guideline: Hoarseness (Dysphonia) (Update)
Stachler, R. J., Francis, D. O., Schwartz, S. R., Damask, C. C., Digoy, G. P., Krouse, H. J., McCoy, S. J., Ouellette, D. R., Patel, R. R., Reavis, C. (. W., et al. (2018) · Otolaryngology–Head and Neck Surgery · doi:10.1177/0194599817751030 · Cited by 368
Bonnet, S., Hartl, D., Leboulleux, S., Baudin, E., Lumbroso, J. D., Al Ghuzlan, A., Chami, L., Schlumberger, M., & Travagli, J. P. (2009) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2008-1931 · Cited by 275
Metadata
- Authors
- Dralle, H., Sekulla, C., Haerting, J., Timmermann, W., Neumann, H. J., Kruse, E., Grond, S., Mühlig, H. P., Richter, C., Voß, J., Thomusch, O., Lippert, H., Gastinger, I., Brauckhoff, M., & Gimm, O.
- Venue
- Surgery
- Publisher
- Elsevier BV
- Published
- 2004-12
- Volume
- 136
- Issue
- 6
- Pages
- 1310-1322
- ISSN
- 0039-6060 (ISSN-L)
- OpenAlex
- W2074430077
- Cited by
- 653
- References
- 1
- FWCI
- 12.72
- Type
- journal article
- Language
- en
- Open access
- green
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- CoChat. (2026). Citation check: Risk factors of paralysis and functional outcome after recurrent laryngeal nerve monitoring in thyroid surgery. https://app.cochat.ai/papers/10.1016/j.surg.2004.07.018
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- Dralle, H., Sekulla, C., Haerting, J., Timmermann, W., Neumann, H. J., Kruse, E., Grond, S., Mühlig, H. P., Richter, C., Voß, J., Thomusch, O., Lippert, H., Gastinger, I., Brauckhoff, M., & Gimm, O. (2004). Risk factors of paralysis and functional outcome after recurrent laryngeal nerve monitoring in thyroid surgery. Surgery. https://doi.org/10.1016/j.surg.2004.07.018
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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