Observational studyWorld journal of surgery2019
Incidence, Risk Factors, and Natural Outcome of Vocal Fold Paresis in 920 Thyroid Operations with Routine Pre- and Postoperative Laryngoscopic Evaluation.
Observational study in World journal of surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 20 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
- Incidence and risk factors of intubation-related vocal cord paralysis after unilateral thyroidectomy.JA clinical reports · 2025Article
- Risk factors for recurrent laryngeal nerve injury following thyroid surgery: a systematic review and meta-analysis.Frontiers in surgery · 2025Review
- Incidence and prognosis of contralateral vocal fold paralysis after hemithyroidectomy in previously unoperated patients.BJS open · 2023Article
- Analysis of Risk Factors for Phonation Disorders after Thyroid Surgery.Biomedicines · 2022Article
- Lateral approach contributes to shortened surgical time in video-assisted neck surgery (VANS) for thyroid nodule.Surgery open science · 2022Article
- Importance of Intraoperative Neuromonitoring Parameters in Predicting Temporary Recurrent Laryngeal Nerve Palsy Following Thyroid Surgery for Malignancy.Indian journal of surgical oncology · 2022Article
- Challenge of Lung Isolation in Patients with Vocal Cord Implants.Anesthesiology and pain medicine · 2022Review
- Perceptual Assessment and Acoustic Voice Analysis as Screening Tests for Vocal Fold Paresis After Thyroid or Parathyroid Surgery.World journal of surgery · 2021Article
- Giant toxic multinodular goiter with dyspnea: A case report.International journal of surgery case reports · 2020Article
- Flexible Laryngoscopy Findings in Patients Undergoing Thyroidectomy in North-Central Nigeria.Journal of the West African College of SurgeonsArticle
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe aim of this study was to determine the incidence, risk factors, and spontaneous recovery rate of vocal fold paresis (VFP) with routine laryngoscopy before and after thyroid surgery.
methodsAll consecutive patients undergoing primary or redo thyroid surgery between years 2011-2016 were prospectively registered in an electronic database, and scheduled for pre- and postoperative laryngoscopic vocal fold inspection by otolaryngologists independently of the surgical team.
resultsA total of 920 thyroid operations with 1296 nerves at risk were performed in 866 patients. Pre- and postoperative laryngoscopy was done in 95% and 98%, respectively. Preoperative VFP was detected in 24 (2.8%) patients. New postoperative VFP was found in 53 of 920 operations (5.8%) and in 55 of 1296 nerves at risk (4.2%). After 12 months, 14 had recovered full vocal fold function and eight had near-complete recovery. VFP was permanent after 29 operations (3.2%); two patients were lost to follow-up with uncertain outcome. Of the 1296 nerves at risk, injury was permanent in 30 (2.3%). In multivariate analysis, patients operated for recurrent goiter had nearly nine times higher risk of new VFP (23% rate), whereas patients with malignant histology had three times higher risk of postoperative VFP (up to 22% rate).
conclusionVFP continues to be a serious complication of thyroid surgery, especially in operations for redo goiter and thyroid malignancy. The incidence of VFP may be underestimated unless laryngoscopic examinations are performed routinely.
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