Ten-year outcomes of recurrent laryngeal nerve reinnervation for thyroidectomy-related unilateral vocal fold paralysis: A single-surgeon, prospective study
- Authors
- Lee, Young-Jeong; Lee, Seung-Won
- Issue Date
- May-2024
- Publisher
- W B SAUNDERS CO-ELSEVIER INC
- Keywords
- Thyroid gland; Unilateral vocal fold paralysis (UVFP); Recurrent laryngeal nerve (RLN); Reinnervation
- Citation
- AMERICAN JOURNAL OF OTOLARYNGOLOGY, v.45, no.3
- Journal Title
- AMERICAN JOURNAL OF OTOLARYNGOLOGY
- Volume
- 45
- Number
- 3
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/26209
- DOI
- 10.1016/j.amjoto.2024.104242
- ISSN
- 0196-0709
1532-818X
- Abstract
- Objectives: This study evaluated the long-term outcomes of intraoperative recurrent laryngeal nerve (RLN) reinnervation for managing thyroidectomy-related unilateral vocal fold paralysis (UVFP) over a period of 10 years and assessed the long-term efficacy of this technique. Methods: This study was conducted between March 2006 and July 2022 at Soonchunhyang University Bucheon Hospital. We enrolled 25 patients who underwent RLN reinnervation via direct neurorrhaphy or ansa cervicalisto-RLN anastomosis and completed subjective and objective voice measurements over 5 years period. Among these, 10 patients completed voice measurements over 10 years period. Results: Six months post-RLN reinnervation, most subjective voice parameters and some of objective voice parameters showed significant improvement (p < 0.05). Twelve months after the procedure, most parameters demonstrated significant voice improvements. These improvements remained stable in follow-up examinations 10 years post-RLN reinnervation (p < 0.05). Conclusions: With stable voice outcomes over a decade, primary intraoperative RLN reinnervation provides satisfactory voice outcomes for 10 years postoperatively. Concerning the long-term survival of thyroid cancer patients, primary intraoperative RLN reinnervation is the first recommended voice rehabilitation technique for thyroidectomy related permanent UVFP.
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Collections - College of Medicine > Department of Otorhinolaryngology > 1. Journal Articles
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