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Research ArticleOriginal Article
Open Access

Recurrent laryngeal nerve injury after thyroidectomy

A national study from Saudi Arabia

Saad M. Alqahtani, Hanan R. Al-sohabi, Musaed F. Rayzah, Amani S. Alatawi, Areej A. AlFattani and Yousef S. Alalawi
Saudi Medical Journal January 2023, 44 (1) 80-84; DOI: https://doi.org/10.15537/smj.2023.44.1.20220710
Saad M. Alqahtani
From the Department of Surgery (Alqahtani, Rayzah), College of Medicine, Majmaah University, Al-Majmaah, from the Department of Surgery (Al-sohabi, Alalawi), King Salman Armed Forces Hospital Northwestern Region, from the Department of Surgery (Alatawi), King Fahad Specialist Hospital, Tabuk, and from the Department of Biostatistics, Epidemiology, and Scientific Computing (AlFattani), King Faisal Specialist Hospital and Research Centre, Riyadh, Kingdom of Saudi Arabia
MD
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  • For correspondence: [email protected] [email protected]
Hanan R. Al-sohabi
From the Department of Surgery (Alqahtani, Rayzah), College of Medicine, Majmaah University, Al-Majmaah, from the Department of Surgery (Al-sohabi, Alalawi), King Salman Armed Forces Hospital Northwestern Region, from the Department of Surgery (Alatawi), King Fahad Specialist Hospital, Tabuk, and from the Department of Biostatistics, Epidemiology, and Scientific Computing (AlFattani), King Faisal Specialist Hospital and Research Centre, Riyadh, Kingdom of Saudi Arabia
MBBS
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Musaed F. Rayzah
From the Department of Surgery (Alqahtani, Rayzah), College of Medicine, Majmaah University, Al-Majmaah, from the Department of Surgery (Al-sohabi, Alalawi), King Salman Armed Forces Hospital Northwestern Region, from the Department of Surgery (Alatawi), King Fahad Specialist Hospital, Tabuk, and from the Department of Biostatistics, Epidemiology, and Scientific Computing (AlFattani), King Faisal Specialist Hospital and Research Centre, Riyadh, Kingdom of Saudi Arabia
MD
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  • For correspondence: [email protected] [email protected]
Amani S. Alatawi
From the Department of Surgery (Alqahtani, Rayzah), College of Medicine, Majmaah University, Al-Majmaah, from the Department of Surgery (Al-sohabi, Alalawi), King Salman Armed Forces Hospital Northwestern Region, from the Department of Surgery (Alatawi), King Fahad Specialist Hospital, Tabuk, and from the Department of Biostatistics, Epidemiology, and Scientific Computing (AlFattani), King Faisal Specialist Hospital and Research Centre, Riyadh, Kingdom of Saudi Arabia
MBBS
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Areej A. AlFattani
From the Department of Surgery (Alqahtani, Rayzah), College of Medicine, Majmaah University, Al-Majmaah, from the Department of Surgery (Al-sohabi, Alalawi), King Salman Armed Forces Hospital Northwestern Region, from the Department of Surgery (Alatawi), King Fahad Specialist Hospital, Tabuk, and from the Department of Biostatistics, Epidemiology, and Scientific Computing (AlFattani), King Faisal Specialist Hospital and Research Centre, Riyadh, Kingdom of Saudi Arabia
MPH, CCRP
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Yousef S. Alalawi
From the Department of Surgery (Alqahtani, Rayzah), College of Medicine, Majmaah University, Al-Majmaah, from the Department of Surgery (Al-sohabi, Alalawi), King Salman Armed Forces Hospital Northwestern Region, from the Department of Surgery (Alatawi), King Fahad Specialist Hospital, Tabuk, and from the Department of Biostatistics, Epidemiology, and Scientific Computing (AlFattani), King Faisal Specialist Hospital and Research Centre, Riyadh, Kingdom of Saudi Arabia
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Article Figures & Data

Tables

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    Table 1

    - Characteristics of patients with recurrent laryngeal nerve injury.

    Patient no.Age (years)PathologyType of pathologyProcedureType of injurySideNeck dissectionOther features
    163MalignantPapillary thyroid cancerTotal thyroidectomyTemporaryUnilateralYes-Retrosternal extension-Extrathyroidal extension
    228BenignDiffuse toxic goiterTotal thyroidectomyTemporaryUnilateralNo-
    339BenignMultinodular goiterTotal thyroidectomyTemporaryUnilateralNoRetrosternal extension
    443BenignHashimoto’s thyroiditisRight-hemi thyroidectomyTemporaryUnilateralNoAdhesions
    541BenignMultinodular goiter with cystic degenerationTotal thyroidectomyPermanentBilateralNo-Huge left lobe-Adhesions and fibrosis
    • View popup
    Table 2

    - Associations of patient’s demographics, final pathology, and extent of thyroidectomy with the risk of recurrent laryngeal nerve.

    VariablesRLN injury
    No (n=432)Yes (n=5)P-values*
    Age (years), mean±SD41.2±19.142.8±12.60.84
    Gender
    Female356 (82.4)5 (100)00.59
    Male76 (17.6)0 (0.0)
    Final pathology
    Benign235 (54.4)4 (80.0)0.38
    Malignant197 (45.6)1 (20.0)
    Extent of thyroidectomy
    Total thyroidectomy252 (58.3)4 (80.0)0.81
    Right hemi-thyroidectomy81 (18.8)1 (20.0)
    Left hemi-thyroidectomy63 (14.6)0 (0.0)
    Sub-total thyroidectomy7 (1.6)0 (0.0)
    Completion thyroidectomy29 (6.7)0 (0.0)

    Values are presented as numbers and precentages (%).

    • ↵* Significant at a p-value of <0.05. RLN: recurrent laryngeal nerve, SD: standard deviation

    • View popup
    Table 3

    - Prevalence of recurrent laryngeal nerve injury among different cities in Saudi Arabia.

    StudiesYearsCitiesRLN injuries
    Bawa et al62021Bisha4 (1.9)
    Alghamdi et al72021Makkah5 (1.9)
    Al-Essa et al82021Riyadh6 (4.9)
    Al-shareef et al92020Makkah9 (7.0)
    Al-kaff et al102020Makkah4 (1.3)
    Qobty et al112020Aseer37 (24.7)
    Al-Hakami et al122019Jeddah17 (3.7)
    Al-Harbi et al132018Jazan18 (5.6)
    Al-Amri142014Dammam10 (7.35)
    Alshahrani et al152013Riyadh0(0.0)
    Zakaria et al162010Al-Khobar14 (4.1)
    Present study2022Tabuk5 (1.1)

    Values are presented as numbers and precentages (%). RLN: recurrent laryngeal nerve

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    Saudi Medical Journal: 44 (1)
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    Recurrent laryngeal nerve injury after thyroidectomy
    Saad M. Alqahtani, Hanan R. Al-sohabi, Musaed F. Rayzah, Amani S. Alatawi, Areej A. AlFattani, Yousef S. Alalawi
    Saudi Medical Journal Jan 2023, 44 (1) 80-84; DOI: 10.15537/smj.2023.44.1.20220710

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    Recurrent laryngeal nerve injury after thyroidectomy
    Saad M. Alqahtani, Hanan R. Al-sohabi, Musaed F. Rayzah, Amani S. Alatawi, Areej A. AlFattani, Yousef S. Alalawi
    Saudi Medical Journal Jan 2023, 44 (1) 80-84; DOI: 10.15537/smj.2023.44.1.20220710
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    Keywords

    • complications of thyroidectomy
    • recurrent laryngeal nerve injury
    • thyroidectomy

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