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Original Article

PAFMJ. 2015; 65(0): S227-S230


FREQUENCY OF VOCAL CORD INJURY WITH IDENTIFICATION AND WITHOUT IDENTIFICATION OF RECURRENT LARYNGEAL NERVE, DURING SUBTOTAL THYROIDECTOMY

Zahid Anwar, Omer Bin Abdul Aziz, Zaka Ullah Malik, Saad Ahmad Malik, Javaid Iqbal Niazi, Junaid Mansoor.

Abstract
Objective: This study was conducted to determine the frequency of vocal cord injury in unidentified recurrent laryngeal nerve (RLN) as compared to identified during subtotal thyroidectomy (STT).
Study Design: Randomized Controlled Trial.
Place and Duration of Study: Department of Surgery Combined Military Hospital Kohat from 17 Sep 2010 to 17 Mar 2011.
Patients and Methods: Total of 80 patients were divided in two equal groups A and B using computer generated table of random numbers .Group A consisted of 40 patients who underwent Subtotal thyroidectomy with per operative identification of RLN while the remaining 40 patients were included in Group B who underwent surgery without RLN identification by the same surgical team.
Results: Comparison between the two groups revealed that frequency of vocal cord injury was 2.5% in group A and 2.5% in group B with no significant difference (p value > 0.05).
Conclusion: There is no significant difference in the frequency of vocal cord injury in subtotal thyroidectomy (STT) with or without identification of the nerve.

Key words: Recurrent laryngeal nerve (RLN), Subtotal Thyroidectomy (STT), Vocal palsy.



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