Evidence map›Paper›PMID 40535739›Full record

ArticleWorld journal of otorhinolaryngology - head and neck surgery2025

Recurrent nerve damage following thyroid surgery: What can I do?

Domenico Testa, Lucia Del Vecchio, Sergio Motta, Ludovica Castagna, Giovanni Conzo, Vincenza Carandente, Giovanni Docimo, Nicola Lombardo, Alessandra Conzo, Giovanni Motta and 1 more

Abstract read
In one paragraph

Article in World journal of otorhinolaryngology - head and neck surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Recurrent nerve damage following thyroid surgery: What can I do?World journal of otorhinolaryngology - head and neck surgery · 2025
    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

11 authors.

Domenico TestaDepartment of Mental Health and Public Medicine, Otorhinolaryngology-Head and Neck Surgery Unit University of Campania L. Vanvitelli Naples Italy.ORCID 0000-0001-7176-3652
Lucia Del VecchioDepartment of Mental Health and Public Medicine, Otorhinolaryngology-Head and Neck Surgery Unit University of Campania L. Vanvitelli Naples Italy.
Sergio MottaDepartment of Neurosciences, Reproductive and Odontostomatologic Sciences, Unit of Ear, Nose and Throat "Federico II" University Naples Italy.
Ludovica CastagnaDepartment of Mental Health and Public Medicine, Otorhinolaryngology-Head and Neck Surgery Unit University of Campania L. Vanvitelli Naples Italy.
Giovanni ConzoDivision of General and Oncological Surgery, Department of Translational Medical Sciences University of Campania 'Luigi Vanvitelli' Naples Italy.
Vincenza CarandenteDepartment of Mental Health and Public Medicine, Otorhinolaryngology-Head and Neck Surgery Unit University of Campania L. Vanvitelli Naples Italy.
Giovanni DocimoDivision of Thyroid Surgery, Department of Medical and Advanced Surgical Sciences University of Campania 'Luigi Vanvitelli' Naples Italy.
Nicola LombardoDepartment of Medical and Surgical Sciences-Ear, Nose and Throat (ENT) Unit "Magna Græcia" University Catanzaro Italy.
Alessandra ConzoDivision of General and Oncological Surgery, Department of Translational Medical Sciences University of Campania 'Luigi Vanvitelli' Naples Italy.
Giovanni MottaDepartment of Mental Health and Public Medicine, Otorhinolaryngology-Head and Neck Surgery Unit University of Campania L. Vanvitelli Naples Italy.
Ludovico DocimoDepartment of Cardiothoracic Sciences, Division of General and Oncologic Surgery University of Campania "Luigi Vanvitelli" Napoli Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Bilateral recurrent nerve damage still represents one of the main complications following thyroid surgery, even though the nerve intraoperative monitoring has allowed the decrease of this injury Methods: From a total of 1417 patients who underwent total thyroidectomy for benign tumors between 2017 and 2022 in ENT Unit of University of Campania "L. Vanvitelli," this study involved 30 patients with bilateral vocal folds motility deficit. These patients (28 F, 2 M), aged from 24 to 78 years old (average age 51.7), presented a bilateral vocal fold motility deficit. Five patients of the study developed an acute respiratory failure upon the awakening that required a nasotracheal prolonged safe extubation. The other 25 patients underwent 9 months diagnostic and therapeutic process, which started approximately 30 days after thyroid surgery. Results: Indeed, there are several outcomes of these complications, like functional laryngeal defects, which are mainly related to respiratory and phonatory activities. These clinical manifestations can evolve in different ways within a context of a wide range of possibilities, from the spontaneous bilateral or monolateral recovery to the necessity of a functional or surgical restoration. Conclusion: This study allowed the acquisition of useful information about prognostic indications and an adequate therapeutic process, based on the specific clinical characteristics.

Indexed as

bilateral vocal folds paralysisthyroidectomyvoice therapy

Identifiers

PMID40535739
PMCPMC12172132

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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.