Article Figures & Data
Tables
Patient no. Age (years) Pathology Type of pathology Procedure Type of injury Side Neck dissection Other features 1 63 Malignant Papillary thyroid cancer Total thyroidectomy Temporary Unilateral Yes -Retrosternal extension-Extrathyroidal extension 2 28 Benign Diffuse toxic goiter Total thyroidectomy Temporary Unilateral No - 3 39 Benign Multinodular goiter Total thyroidectomy Temporary Unilateral No Retrosternal extension 4 43 Benign Hashimoto’s thyroiditis Right-hemi thyroidectomy Temporary Unilateral No Adhesions 5 41 Benign Multinodular goiter with cystic degeneration Total thyroidectomy Permanent Bilateral No -Huge left lobe-Adhesions and fibrosis - Table 2
- Associations of patient’s demographics, final pathology, and extent of thyroidectomy with the risk of recurrent laryngeal nerve.
Variables RLN injury No (n=432) Yes (n=5) P-values* Age (years), mean±SD 41.2±19.1 42.8±12.6 0.84 Gender Female 356 (82.4) 5 (100)0 0.59 Male 76 (17.6) 0 (0.0) Final pathology Benign 235 (54.4) 4 (80.0) 0.38 Malignant 197 (45.6) 1 (20.0) Extent of thyroidectomy Total thyroidectomy 252 (58.3) 4 (80.0) 0.81 Right hemi-thyroidectomy 81 (18.8) 1 (20.0) Left hemi-thyroidectomy 63 (14.6) 0 (0.0) Sub-total thyroidectomy 7 (1.6) 0 (0.0) Completion thyroidectomy 29 (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
- Table 3
- Prevalence of recurrent laryngeal nerve injury among different cities in Saudi Arabia.
Studies Years Cities RLN injuries Bawa et al6 2021 Bisha 4 (1.9) Alghamdi et al7 2021 Makkah 5 (1.9) Al-Essa et al8 2021 Riyadh 6 (4.9) Al-shareef et al9 2020 Makkah 9 (7.0) Al-kaff et al10 2020 Makkah 4 (1.3) Qobty et al11 2020 Aseer 37 (24.7) Al-Hakami et al12 2019 Jeddah 17 (3.7) Al-Harbi et al13 2018 Jazan 18 (5.6) Al-Amri14 2014 Dammam 10 (7.35) Alshahrani et al15 2013 Riyadh 0(0.0) Zakaria et al16 2010 Al-Khobar 14 (4.1) Present study 2022 Tabuk 5 (1.1) Values are presented as numbers and precentages (%). RLN: recurrent laryngeal nerve