Preventing injury to nerves during whole lobe or thyroidectomy procedures

Abstract

The purpose of this research was to identify the most common postoperative problems, with a focus on nerve injury, after a total thyroidectomy or complete lobectomy. All patients diagnosed with thyroid diseases within the last 3 years (i.e., from 2020 to June
2023) were included in the study to compare the outcomes of total thyroidectomy and total lobectomy in terms of complications, such as nerve damage. Patients diagnosed with thyroid problems, including thyroid cancer, had a series of 63 successive procedures, some of which included central neck dissection and others not. People who had thyroid cancer, recurrent laryngeal nerve palsy as a result of a prior thyroid operation, or other conditions that alter voice were the only ones we left out. The supervising physician oversaw the retrieval of clinical data from the patients' hospital records. The procedures that were carried out included a full thyroidectomy, a unilateral total lobectomy, a revision thyroidectomy to remove remnant or recurrent thyroid tissue, and a completion thyroidectomy to remove the contralateral lobe from patients who had previously had a thyroid lobectomy alone. A top surgeon oversaw all procedures. Thyroid problems, including thyroid cancer, were treated with 63 successive procedures, some of which included central neck dissection and others not. Only patients who had thyroid cancer or recurrent laryngeal nerve palsy as a result of a prior thyroid operation were considered for exclusion . The average age of the participants in the research was 43.24 ± 4.45 years, and there were 59 females (93.7%) and 4 men (6.3%). Four individuals, or 6.3% of the total, had a minor consequence, such as an infection. In conclusion, preventing nerve damage requires meticulous hemostasis and a careful approach. It is advised to separate all the blood vessels that are flush with the thyroid capsule on both the outside and inside of the gland during surgery. The external branch of the superior laryngeal nerves may be preserved by ligating the anterior and posterior branches of the superior thyroid artery separately.