The Effect of Different Hemostatic Systems on the Injury of the External Branch of the Superior Laryngeal Nerve in Thyroidectomy
Journal Title: Istanbul Medical Journal - Year 2019, Vol 20, Issue 2
Abstract
Introduction: Vessel-sealing and ultrasonic coagulation systems that provide rapid and effective hemostasis are widely used in thyroid surgery. An important disadvantage of these systems is injury to the neighboring anatomical structures by thermal damage. However, data on injury to the external branch of the superior laryngeal nerve is limited. The aim of this study was to evaluate the effect of different vascular closure systems on this nerve injury in thyroidectomy. Methods: A total of 45 patients who underwent thyroidectomy for benign thyroid disease between October 2008 and February 2009 were included in the study. Patients were randomized and divided into three groups, each consisting of 15 patients. Systems used were vessel-sealer in the first group, harmonic scalpel in the second group and conventional suture ligation technique in the third group. Laryngeal electromyography findings and voice complaints were compared. Results: There were 37 female (82%) and 8 male patients. The mean age was 47.9±11.1 years. Demographic features and surgical procedures were statistically similar in all groups (p>0.05). The control electromyography of 84 nerves with preoperatively confirmed normal findings showed that three (10.7%) of the 28 nerves in the vessel sealer group, two (7.1%) of the 28 nerves in the harmonic scalpel group, and two (7.1%) of the 28 nerves in the suture ligation group had complete or partial nerve injury (p>0.05). No significant difference was found between the groups in terms of voice complaints (p>0.05). Conclusion: Compared to the conventional suture ligation technique, the use of vascular closure devices does not increase the risk of injury to the external branch of the superior laryngeal nerve.
Authors and Affiliations
Volkan Özben, Recep Özgültekin, Nurten Adatepe, Asım Kaytaz
Keywords
Related Articles
- EP ID EP549083
- DOI 10.4274/imj.galenos.2018.42243
- Views 225
- Downloads 0
Evaluation of the Effect of NQO1 C609T (rs1800566) Gene Variations in Philadelphia-negative Myeloproliferative Neoplasms in Turkish Population
Introduction: Philadelphia-negative myeloproliferative neoplasm (MPN) is a hematopoietic stem cell disorder consisting of essential thrombocythemia (ET), polycythemia vera (PV), and primary myelofibrosis (PMF) associated...
Could Lycopene Protect Against Ischemia/Reperfusion Injury in the Uterus?
Introduction: Ischemia/reperfusion damage (IRD) is one of the most important factors in the success of organ transplantation. IRD plays a role in both acute and chronic rejection. This study aims to evaluate the effects...
Current Approach to Hyperbaric Oxygen Therapy
Hyperbaric oxygen (HBO) therapy is a therapy method based on inhalation of 100% pure oxygen through a mask or endotracheal tube or directly from the environment while subjected to a fully closed pressure chamber with >1...
One-stage Combined Surgical Treatment of Spinal Deformity and Medulla Spinalis Abnormality
Introduction: Congenital spinal deformities accompanied by medulla spinalis anomalies are relatively common conditions and can lead to severe complications when left untreated. The conventional treatment approach for sev...
Human Metapneumovirus Infection in a Patient with Recurrent Wheezing: Case Report
Lower respiratory tract infections are responsible for 28% of preventable and treatable childhood deaths under 2 years of age in the world. In recent years, due to advances on the factors of respiratory tract infections,...