Research
Print page Print page
Switch language
Rigshospitalet - a part of Copenhagen University Hospital
Published

Risk factors for recurrent nerve palsy after thyroid surgery: a national study of patients treated at Danish departments of ENT Head and Neck Surgery

Research output: Contribution to journalJournal articleResearchpeer-review

  1. Developing a national e-learning course in otorhinolaryngology: the Danish experience

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Ultra-high-fidelity virtual reality mastoidectomy simulation training: a randomized, controlled trial

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. FDG-PET/CT in the surveillance of head and neck cancer following radiotherapy

    Research output: Contribution to journalJournal articleResearchpeer-review

  4. Value of pre- and intraoperative diagnostic methods in suspected glottic neoplasia

    Research output: Contribution to journalJournal articleResearchpeer-review

  1. The Adenoids but Not the Palatine Tonsils Serve as a Reservoir for Bacteria Associated with Secretory Otitis Media in Small Children

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. A nationwide registry-based cohort study of incidence of tonsillectomy in Denmark, 1991-2012

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Asymptomatic Substernal Goiter Reaching the Diaphragm

    Research output: Contribution to journalJournal articleResearch

  4. Long-term results using LigaSure™ 5 mm instrument for treatment of Zenker's diverticulum

    Research output: Contribution to journalJournal articleResearchpeer-review

  • Christian Godballe
  • Anders Rørbæk Madsen
  • Christian Hjort Sørensen
  • Sten Schytte
  • Waldemar Trolle
  • Jens Peter Helweg-Larsen
  • Lisa Barfoed
  • Larry Kristiansen
  • Vibeke Zederkof Sørensen
  • Grethe Badsberg Samuelsen
  • Henrik Baymler Pedersen
View graph of relations
Recurrent laryngeal nerve (RLN) injury is a well-known and serious complication to thyroid surgery. The objective was to estimate the frequency of post-thyroidectomy RLN palsy and to identify possible risk factors. Based on the Danish national thyroid surgery database, 6,859 patients treated with thyroid surgery from 1 January 2001 to the 31 December 2008 at the Danish departments of ENT-HNS were analyzed. Unilateral RLN palsy was found in 2.1 % and bilateral in 0.1 %. In benign histology, RLN palsies were registered in 1.3 %. Malignant histology and accordingly neck dissection were the most predominant risk factors with a relative risk (RR) of 5.4 and 5.8, respectively. In benign cases previous performed thyroid surgery had a RR of 10.4. High volume departments with more than 150 thyroid procedures per year seem to perform significantly better. Malignant histology, neck dissection and previous performed thyroid surgery are the strongest predictors for RLN palsy and patient information should be given accordingly. Incomplete resections should be reserved for isthmectomy only. Centralization of thyroid surgery in larger units might improve quality.
Original languageEnglish
JournalEuropean 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
Volume271
Issue number8
Pages (from-to)2267-76
ISSN0937-4477
DOIs
Publication statusPublished - 2014

ID: 42483669