Evidence map›Paper›PMID 38676783›Full record

ArticleLangenbeck's archives of surgery2024

New strategy for intraoperative phonosurgical management of recurrent laryngeal nerve infiltrated by thyroid carcinoma.

Jieying Peng, Guanghao Zhu, Yingna Gao, Xianmin Song, Haojun Yu, Rushi Huang, Mengjie Chen, Yafei Jiang, Guodong Sun, Meng Li and 2 more

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Langenbeck's archives of surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.0field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Immediate ansa cervicalis-recurrent laryngeal nerve anastomosis promotes multidimensional voice recovery following RLN resection in thyroid cancer.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 · 2025
    Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 1 institution in 1 country.

Jieying Peng *Department of Otolaryngology-Head and Neck Surgery, The First Affiliated Hospital of Naval Medical University, Shanghai, China.
Guanghao Zhu *Department of Otolaryngology-Head and Neck Surgery, The First Affiliated Hospital of Naval Medical University, Shanghai, China.
Yingna Gao *Department of Otolaryngology-Head and Neck Surgery, The First Affiliated Hospital of Naval Medical University, Shanghai, China.
Xianmin SongDepartment of Otolaryngology-Head and Neck Surgery, The First Affiliated Hospital of Naval Medical University, Shanghai, China.
Haojun YuDepartment of Otolaryngology-Head and Neck Surgery, The First Affiliated Hospital of Naval Medical University, Shanghai, China.
Rushi HuangDepartment of Otolaryngology-Head and Neck Surgery, The First Affiliated Hospital of Naval Medical University, Shanghai, China.
Mengjie ChenDepartment of Otolaryngology-Head and Neck Surgery, The First Affiliated Hospital of Naval Medical University, Shanghai, China.
Yafei JiangShanghai 411 hospital, Shanghai, China.
Guodong SunHangzhou Special Service Recovery Center of Air Force, Hangzhou, China.
Meng LiDepartment of Otolaryngology-Head and Neck Surgery, The First Affiliated Hospital of Naval Medical University, Shanghai, China.
Hongliang ZhengDepartment of Otolaryngology-Head and Neck Surgery, The First Affiliated Hospital of Naval Medical University, Shanghai, China. zhenghongliang1018@163.com.
Wei WangDepartment of Otolaryngology-Head and Neck Surgery, The First Affiliated Hospital of Naval Medical University, Shanghai, China. wangw0503@163.com.
People's Liberation Army 411 Hospital · CN

Funding

Changhai Hospital Basic Special Research Foundation 2021JCMS14science research from the National Natural Science Foundation of China 81600791
6 · The paper itself

Abstract

purposeTreating an infiltration of the recurrent laryngeal nerve (RLN) by thyroid carcinoma remains a subject of ongoing debate. Therefore, this study aims to provide a novel strategy for intraoperative phenosurgical management of RLN infiltrated by thyroid carcinoma.

methodsForty-two patients with thyroid carcinoma infiltrating the RLN were recruited for this study and divided into three groups. Group A comprised six individuals with medullary thyroid cancer who underwent RLN resection and arytenoid adduction. Group B consisted of 29 differentiated thyroid cancer (DTC)patients who underwent RLN resection and ansa cervicalis (ACN)-to-RLN anastomosis. Group C included seven patients whose RLN was preserved.

resultsThe videostroboscopic analysis and voice assessment collectively indicated substantial improvements in voice quality for patients in Groups A and B one year post-surgery. Additionally, the shaving technique maintained a normal or near-normal voice in Group C one year post-surgery.

conclusionThe new intraoperative phonosurgical strategy is as follows: Resection of the affected RLN and arytenoid adduction is required in cases of medullary or anaplastic carcinoma, regardless of preoperative RLN function. Suppose RLN is found infiltrated by well-differentiated thyroid cancer (WDTC) during surgery, and the RLN is preoperatively paralyzed, we recommend performing resection the involved RLN and ACN-to-RLN anastomosis immediately during surgery. If vocal folds exhibit normal mobility preoperatively, the MACIS scoring system is used to assess patient risk stratification. When the MACIS score > 6.99, resection of the involved RLN and immediate ACN-to-RLN anastomosis were performed. RLN preservation was limited to patients with MACIS scores ≤ 6.99.

Indexed as

Recurrent Laryngeal NerveThyroidectomyThyroid NeoplasmsAdultAgedFemaleHumansMaleMiddle AgedNeoplasm InvasivenessTreatment OutcomeVocal Cord ParalysisVoice QualityAnsa cervicalisArytenoid adductionLaryngeal reinnervationRecurrent laryngeal nerveThyroid carcinomaVocal fold paralysis

Identifiers

PMID38676783
PMCPMC11055930
OpenAlexW4395694942

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.