Evidence map›Paper›PMID 41566020›Full record

ArticleEuropean 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 Surgery2026

The impact of surgery type on the recovery of iatrogenic vocal fold injury.

Talia Ben Simon, Sapir Pinhas, Chen Hazout Cohen, Aviad Sapir, Yael Shapira-Galitz, Yonatan Lahav, Youval Slovik, Oded Cohen, Din Haim Ben Hayoun

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Article in 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, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Talia Ben SimonFaculty of Health Sciences, Ben Gurion University, Be'er Sheva, Israel.
Sapir PinhasFaculty of Health Sciences, Ben Gurion University, Be'er Sheva, Israel.
Chen Hazout CohenFaculty of Health Sciences, Ben Gurion University, Be'er Sheva, Israel.
Aviad SapirFaculty of Health Sciences, Ben Gurion University, Be'er Sheva, Israel.
Yael Shapira-GalitzDepartment of Otolaryngology Head and Neck Surgery, Kaplan Medical Center, Rehovot, Israel.
Yonatan LahavDepartment of Otolaryngology Head and Neck Surgery, Kaplan Medical Center, Rehovot, Israel.
Youval SlovikFaculty of Health Sciences, Ben Gurion University, Be'er Sheva, Israel.
Oded CohenFaculty of Health Sciences, Ben Gurion University, Be'er Sheva, Israel.
Din Haim Ben HayounFaculty of Health Sciences, Ben Gurion University, Be'er Sheva, Israel. dinb@assuta.co.il.ORCID http://orcid.org/0009-0002-4437-2888

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo study the impact of surgery type causing iatrogenic Vocal Fold Injury (VFI) on recovery and symptoms.

methodsRetrospective case series of patients with iatrogenic VFI, divided by surgery type: (1) Thyroidectomy; (2) carotid endarterectomy (CEA), and (3) others. The main outcome was vocal fold recovery. Data collected included demographics, medical background, and clinical presentation. Univariate and multivariate logistic regressions were employed to identify recovery predictors.

resultsA total of 107 patients were included (69 thyroidectomies, 18 CEA, and 21 other surgeries). Initial recovery was observed in 57 patients (53%), and full recovery in 34 (32%) patients. The median time to initial recovery was 99 days (IQR: 45, 189), while the median time to full recovery was 137.5 days (IQR: 99.75, 294.5). The rates of initial recovery were higher after thyroidectomy compared to CEA (OR = 0.24 (95% CI 0.07–0.7); p < 0.05) and other surgeries (OR = 0.35 95% CI (0.11–0.91); p < 0.05), and of full recovery (OR = 0.21 (95% CI 0.03–0.81; p = 0.05) compared to CEA. Among the examined interventions for VFI, none were associated with initial or complete VFI recovery. Intraoperative RLN identification was associated with initial VFI recovery after thyroidectomy.

conclusionsCompared with other surgeries, patients with iatrogenic VFI following thyroidectomy are more likely to improve.

Indexed as

Endarterectomy, CarotidIatrogenic DiseaseRecovery of FunctionThyroidectomyVocal Cord ParalysisVocal CordsAdultAgedFemaleHumansMaleMiddle AgedRecurrent Laryngeal Nerve InjuriesRetrospective StudiesHoarsenessRecurrent laryngeal nerve (RLN)ThyroidectomyVocal fold immobilityVocal fold impaired mobility

Identifiers

PMID41566020

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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.