0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

Recurrent Laryngeal Nerve Palsy in Thyroid Gland Surgery Related to Operations and Nerves at Risk

Hans Mårtensson, MD, PhD; Janis Terins, MD
Arch Surg. 1985;120(4):475-477. doi:10.1001/archsurg.1985.01390280065014.
Text Size: A A A
Published online

• Recurrent laryngeal nerve palsy is rare, but it is the most common complication in thyroid gland surgery. Depending on whether the measurement of the rate of occurrence is based on the number of operations or on the number of nerves at risk, the rate may vary widely. The elapsed time from the operation to when the palsy is considered permanent has also differed among various studies. In a ten-year series of 514 thyroid gland operations at a county hospital, all patients with a postoperative palsy were examined six months to ten years after the operation. After a primary operation almost 50% of the palsies were temporary, reducing the permanent palsy rate to 5.8% based on the number of operations, or 3.6% based on the number of nerves at risk. With more extensive surgery, the rate increased. This series illustrates the importance of the method by which the recurrent laryngeal nerve palsy rate is defined and calculated. The rates also show that the complication rate may be kept at a low level even in a nonspecialized unit.

(Arch Surg 1985;120:475-477)

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();