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Minimally Invasive Therapies for Endocrine Neck Diseases pp 221–236Cite as

Recurrent Laryngeal Nerve Monitoring

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Abstract

Thyroid surgery is unique in head and neck surgery in that both right and left cranial nerves are subject to risk in one surgical procedure. It is a well-known fact that unilateral vocal cord palsy can lead to voice changes sufficient enough to alter vocation especially in professional voice users, and may be accompanied by dysphagia and aspiration, whereas bilateral vocal cord paralysis may necessitate a tracheostomy [1]. Current reported rates for temporary vocal cord paralysis range anywhere between 1.4 and 38.4 % (average 9.8 %), whereas it ranges between 0 and 18.6 % (average 2.3 %) for permanent vocal cord paralysis [2]. Thus importance of ensuring functional integrity of the recurrent laryngeal nerve anatomy (RLN) during thyroid surgery cannot be overstated.

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Authors and Affiliations

  1. Division of Thyroid and Parathyroid Surgery, Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, 243 Charles St, Boston, MA, 02114, USA

    Rahul R. Modi, Dipti Kamani & Gregory W. Randolph

  2. Department of Otolaryngology – Head and Neck Surgery, Bharati Vidyapeeth Deemed University Medical College, Pune, Maharashtra, India

    Rahul R. Modi

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  3. Gregory W. Randolph
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  1. Chief of Endocrine Surgery Unit, Policlinico Gemelli – CIC, Università Cattolica del Sacro Cuore, Rome, Milano, Italy

    Celestino Pio Lombardi

  2. Chief of Istituto Semeiotica Chirurgica, Chief of Endocrine and Metabolic Surgery Unit, Policlinico Gemelli, Università Cattolica del Sacro Cuore, Rome, Italy

    Rocco Bellantone

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Modi, R.R., Kamani, D., Randolph, G.W. (2016). Recurrent Laryngeal Nerve Monitoring. In: Lombardi, C., Bellantone, R. (eds) Minimally Invasive Therapies for Endocrine Neck Diseases. Springer, Cham. https://doi.org/10.1007/978-3-319-20065-1_18

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