ArticleThe Laryngoscope2019
Risk factors for thyroid surgery-related unilateral vocal fold paralysis.
Article in The Laryngoscope, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 26 citations in OpenAlex.
- The impact of surgery type on the recovery of iatrogenic vocal fold injury.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026Article
- The Effect of Diabetic Neuropathy on Recurrent Laryngeal Nerve Monitoring During Thyroid Surgery.Cureus · 2025Article
- Analysis of Risk Factors for Phonation Disorders after Thyroid Surgery.Biomedicines · 2022Article
- Assessment of diagnostic capacity and decision-making based on the 2015 American Thyroid Association ultrasound classification system.World journal of methodology · 2022Article
- The effect of intraoperative neuromonitoring on the number of lymph nodes excised and recurrence when applied during neck dissection in cases of papillary thyroid cancer.Annals of surgical treatment and research · 2022Article
- Modified Arytenoid Adduction Operation for the Treatment of Unilateral Vocal Fold Paralysis.ORL; journal for oto-rhino-laryngology and its related specialties · 2022Article
- Effects of Central Neck Dissection on Complications in Differentiated Thyroid Cancer.Sisli Etfal Hastanesi tip bulteni · 2021Article
- Incidence of recurrent laryngeal nerve injury and associated risk factors after thyroidectomy: a retrospective study.Annals of Saudi medicineArticle
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
Abstract
objectives/hypothesisWe aimed to identify the risk factors for iatrogenic unilateral vocal fold paralysis (UVFP) caused by thyroid surgery, to allow the identification of patients requiring nerve-protection procedures and monitoring technologies. STUDY
designRetrospective case study in a medical center.
methodsPatients who underwent thyroid surgery from April 2011 to February 2016 and who were diagnosed with UVFP by laryngoscopy and laryngeal electromyography were included. Patient demographics, types of surgery, and characteristics of the thyroid lesions were analyzed.
resultsSixty (2.1%) of 2,815 patients who received thyroid surgery developed UVFP. The risk of UVFP was higher in patients over 60 years old (odds ratio, 1.89; 95% confidence interval, 1.01-3.26; P = .01). Involvement of the external branch of superior laryngeal nerve (EBSLN) occurred in 19 (31.7%) of the 60 UVFP patients, and was more likely to occurr in patients with diabetes mellitus (odds ratio, 14.19; 95% confidence interval, 3.80-52.94; P < .001). The incidence of UVFP and involvement of the EBSLN differed among surgery types, and was the highest among patients undergoing total thyroidectomy with neck dissection (TTND) (10/158, 6.3% and 5/158, 3.2%, respectively).
conclusionsThe risk of thyroid surgery-related UVFP is higher in older patients. EBSLN involvement is more likely in patients with diabetes mellitus. TTND is associated with higher risks of UVFP and EBSLN injury than other types of surgery, implying the need of intraoperative nerve monitoring in these high-risk characteristics. LEVEL OF EVIDENCE: 4 Laryngoscope, 129:275-283, 2019.
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