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Intraoperative Recurrent Laryngeal Nerve Monitoring in a Patient with Contralateral Vocal Fold Palsy

Na BS, Choi JH, Park IK, Kim YT, Kang CH

Recurrent laryngeal nerve injury can develop following cervical or thoracic surgery; however, few reports have described intraoperative recurrent laryngeal nerve monitoring. Consensus regarding the use of this technique during thoracic...
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Hypoglossal Nerve Palsy as a Complication of an Anterior Approach for Cervical Spine Surgery

Yasuda T, Togawa D, Hasegawa T, Yamato Y, Kobayashi , Arima H, Matsuyama

A recurrent laryngeal nerve injury is known as a complication referring to an anterior cervical spine surgery. However, hypoglossal nerve injury is not well known yet. Herein we report a...
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Development of a canine model for recurrent laryngeal injury by harmonic scalpel

Lee KE, Jee HG, Kim HY, Park WS, Park SH, Youn YK

Various energy devices had been used in thyroid surgery. Aim of study is to develop canine model for recurrent laryngeal nerve injury by harmonic scalpel and to evaluate feasibility of...
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Morphological Study of the Nerve Regeneration in Relation to the Laryngeal Functional Recovery after Recurrent Laryngeal Nerve Injury in Rat

Sunwoo S, Chung SM, Lee HY, Park SY, Hann HJ

  • KMID: 2224522
  • Korean J Anat.
  • 2003 Dec;36(6):549-558.
Recovery from the laryngeal dysfunction caused by the recurrent laryngeal nerve (RLN) injury is not common. Recently, we have found that PEMS treatment improved the functional recovery rate and shortened...
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Post-Thyroidectomy Syndrome

Hong KH

Phonatory and swallowing symptoms after thyroidectomy are well-known implications of laryngeal nerve injuries. The laryngeal nerve injuries, superior and inferior, are major complication that results in changes both to voice...
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Analysis of Voice and Swallowing Symptoms after Thyroidectomy in Patients without Recurrent Laryngeal Nerve Injury in Early Postoperative Period

Kim H, Keum BR, Kim GH, Jeon SS, Kim H, Kim SK, Hong SJ, Hong SM, Kim YB, Park IS

BACKGROUND AND OBJECTIVES: After thyroidectomy, many patients experience problems report such things as reduced voice range and vocal fatigue, swallowing problems without superior and recurrent laryngeal nerve injury. The purpose...
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Clinical Usefulness of Electroglottography in the Topographic Diagnosis of Vocal Cord Paralysis Based on Laryngeal Electromyographic Findings

Park JH, Lee BJ, Kim CS, Kwon SB, Lee HS, Son BH, Kong SK, Park BK, Wang SG

  • KMID: 2274788
  • Korean J Otolaryngol-Head Neck Surg.
  • 2000 Dec;43(12):1328-1336.
BACKGROUND AND OBJECTIVES: Some objective and quantitative diagnositc methods are introduced to evaluate vocal cord paralysis, such as electro glottography (EGG) and laryngeal electromyography (LEMG). LEMG is an invasive and...
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Hypocalcemia and Recurrent Laryngeal Nerve Injury after Thyroid Surgery

Tae K, Lee HS, Jeong YG, Kim KT, Lee SH, Park YS, Ahn YH

  • KMID: 2141367
  • Korean J Otolaryngol-Head Neck Surg.
  • 2002 Nov;45(11):1092-1097.
BACKGROUND AND OBJECTIVES: The main indication for thyroidectomy are thyroid cancer, multinodular goiter, and Graves' disease. Most important complications of thyroidectomy are recurrent laryngeal nerve injury and hypoparathyroidism. The risk...
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Voice-related Outcome after Thyroidectomy

Hong JC, Lee HS, Kim SW, Lee KD

PURPOSE: Vocal symptoms have been reported after thyroidectomy and even in the absence of injury to the recurrent laryngeal nerve or the external branch of the superior laryngeal nerve. The...
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Medico-Legal Issues of Intraoperative Neuromonitoring in Thyroid Surgery

Kim HY, Liu X, Sun H, Wu CW, Chai YJ, Chung WY, Tufano R, Dralle H, Lavazza M, Dionigi G

Advances in intraoperative neuromonitoring (IONM) in thyroid surgery have provided significant insights into recurrent laryngeal nerve function during thyroid surgery. Despite the limitations and necessary caution when using intraoperative monitors...
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Insights into the Therapeutic Potential of Heparinized Collagen Scaffolds Loading Human Umbilical Cord Mesenchymal Stem Cells and Nerve Growth Factor for the Repair of Recurrent Laryngeal Nerve Injury

Pan Y, Jiao G, Yang J, Guo R, Li J, Wang C

Recurrent laryngeal nerve (RLN) injury can result in unilateral or bilateral vocal cords paralysis, thereby causing a series of complications, such as hoarseness and dyspnea. However, the repair of RLN...
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The Effect of Total Thyroidectomy on the Speech Production

Hong KH, Yang YS, Lee HD, Yoon YS, Hong YT

OBJECTIVES: Voice and speech alternations that can occur after total thyroidectomy are usually due to recurrent or superior laryngeal nerve injury. These alterations may also be associated with other extralaryngeal...
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Current Treatment Options for Bilateral Vocal Fold Paralysis: A State-of-the-Art Review

Li Y, Garrett G, Zealear D

Vocal fold paralysis (VFP) refers to neurological causes of reduced or absent movement of one or both vocal folds. Bilateral VFP (BVFP) is characterized by inspiratory dyspnea due to narrowing...
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Central Neck Recurrence Patterns and Morbidity Following Reoperation for Recurrent Papillary Thyroid Carcinoma

Yun JS, Lee YS, Jung JJ, Nam KH, Chung WY, Park CS

  • KMID: 2324760
  • J Korean Surg Soc.
  • 2008 Jan;74(1):42-47.
PURPOSE: Central compartment reoperation for recurrent thyroid carcinoma is challenging to surgeons due to the scar tissues and adhesions and the distortion of the normal anatomic relationships. This study was...
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Analysis of Safety of Completion Thyroidectomy: Comparison between Prophylactic Operation Group and Therapeutic Operation Group

Koh YW, Lee SW, Kim HJ, Lee YM, Kim SW, Lee JY, Mok JO, Byun DW

  • KMID: 2276682
  • Korean J Otolaryngol-Head Neck Surg.
  • 2006 Aug;49(8):817-823.
BACKGROUND AND OBJECTIVES: Completion thyroidectomy (CT) is defined as the resection of residual thyroid tissue following the initial operation of less than a total thyroidectomy. But completion thyroidectomy is a...
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The Effect on Voice by Strap Muscle Cutting in Thyroidectomy

Koh JW, Soh EY, Yang HD, Chun JM, Kim Y, Lee S

PURPOSE: Voice change after thyroidectomy has generally been the result of damage to the recurrent or superior laryngeal nerve. But many patients complain voice alteration without laryngeal nerve injury after...
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Bilateral Vocal Palsy After Total Thyroidectomy: Expert Opinion on Two Malpractice Claims

Dionigi G, Sun H, Chai YJ, Catalfamo , Mangraviti A, Rizzo GA, Portinari , Wu CW

Two patients complained of hoarseness, respiratory distress and swallowing disorders early after total bilateral thyroidectomy for multinodular goiter and cancer, respectively. Faulty surgical techniques had caused injury to bilateral recurrent...
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Clinical Features of Patients Who Undergo Thyroidectomy with and without Hashimoto's Thyroiditis

Lee MJ, Lim YS

PURPOSE: The study investigated clinical features of patients who underwent thyroid surgery, with and without Hashimoto's thyroiditis. METHODS: We retrospectively reviewed the medical records of 150 patients who underwent thyroid surgery...
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Acute pulmonary edema secondary to upper airway obstruction by bilateral vocal cord paralysis after total thyroidectomy: A case report

Kim WH, Ryu SA

This paper reports the case of a 65-year-old woman with a history of mild arterial hypertension who presented with acute pulmonary edema immediately after a total thyroidectomy. The edema was...
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Voice Comparison between Strap Muscle Retraction and Cutting Technique in Thyroidectomy

Kim YM, Cho JI, Kim CH, Park JS, Choi HS, Ha HR

  • KMID: 2074404
  • Korean J Otolaryngol-Head Neck Surg.
  • 2000 Sep;43(9):985-991.
BACKGROUND AND OBJECTIVES: A voice analysis was carried out before and after thyroid surgeries without laryngeal nerve injury, between strap muscle retraction and cutting group in thyroid surgery. The study...
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