The role of immediate recurrent laryngeal nerve reconstruction for thyroid cancer surgery.

Journal of Oncology
Tetsuji SanukiNarihiro Kodama

Abstract

Unilateral vocal fold paralysis (UVFP) is one of the most serious problems in conducting surgery for thyroid cancer. Different treatments are available for the management of UVFP including intracordal injection, type I thyroplasty, arytenoid adduction, and laryngeal reinnervations. The effects of immediate recurrent laryngeal nerve (RLN) reconstruction during thyroid cancer surgery with or without UVFP before the surgery were evaluated with videostroboscopic, aerodynamic, and perceptual analyses. All subjects experienced postoperative improvements in voice quality. Particularly, aerodynamic analysis showed that the values for all patients entered normal ranges in both patients with and without UVFP before surgery. Immediate RLN reconstruction has the potential to restore a normal or near-normal voice by returning thyroarytenoid muscle tone and bulk seen with vocal fold denervation. Immediate RLN reconstruction is an efficient and effective approach to the management of RLN resection during surgery for thyroid cancer.

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Citations

Oct 16, 2014·Thyroid : Official Journal of the American Thyroid Association·Sueyoshi Moritani
Nov 11, 2015·World Journal of Surgery·Radan DzodicSilvana Lukic
Dec 17, 2014·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Narihiro KodamaEiji Yumoto
Oct 30, 2020·The Laryngoscope·Ricard SimóAlfio Ferlito

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