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Risk factors for recurrent nerve palsy after thyroid surgery: a national study of patients treated at Danish departments of ENT Head and Neck Surgery

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

Standard

Risk factors for recurrent nerve palsy after thyroid surgery : a national study of patients treated at Danish departments of ENT Head and Neck Surgery. / Godballe, Christian; Madsen, Anders Rørbæk; Sørensen, Christian Hjort; Schytte, Sten; Trolle, Waldemar; Helweg-Larsen, Jens; Barfoed, Lisa; Kristiansen, Larry; Sørensen, Vibeke Zederkof; Samuelsen, Grethe; Pedersen, Henrik Baymler.

I: 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, Bind 271, Nr. 8, 08.2014, s. 2267-2276.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

Harvard

Godballe, C, Madsen, AR, Sørensen, CH, Schytte, S, Trolle, W, Helweg-Larsen, J, Barfoed, L, Kristiansen, L, Sørensen, VZ, Samuelsen, G & Pedersen, HB 2014, 'Risk factors for recurrent nerve palsy after thyroid surgery: a national study of patients treated at Danish departments of ENT Head and Neck Surgery', 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, bind 271, nr. 8, s. 2267-2276. https://doi.org/10.1007/s00405-013-2767-7

APA

Godballe, C., Madsen, A. R., Sørensen, C. H., Schytte, S., Trolle, W., Helweg-Larsen, J., ... Pedersen, H. B. (2014). Risk factors for recurrent nerve palsy after thyroid surgery: a national study of patients treated at Danish departments of ENT Head and Neck Surgery. 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, 271(8), 2267-2276. https://doi.org/10.1007/s00405-013-2767-7

Vancouver

Godballe C, Madsen AR, Sørensen CH, Schytte S, Trolle W, Helweg-Larsen J o.a. Risk factors for recurrent nerve palsy after thyroid surgery: a national study of patients treated at Danish departments of ENT Head and Neck Surgery. 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. 2014 aug;271(8):2267-2276. https://doi.org/10.1007/s00405-013-2767-7

Author

Godballe, Christian ; Madsen, Anders Rørbæk ; Sørensen, Christian Hjort ; Schytte, Sten ; Trolle, Waldemar ; Helweg-Larsen, Jens ; Barfoed, Lisa ; Kristiansen, Larry ; Sørensen, Vibeke Zederkof ; Samuelsen, Grethe ; Pedersen, Henrik Baymler. / Risk factors for recurrent nerve palsy after thyroid surgery : a national study of patients treated at Danish departments of ENT Head and Neck Surgery. I: 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. 2014 ; Bind 271, Nr. 8. s. 2267-2276.

Bibtex

@article{0ac3499556254da8b3b4efec97faca93,
title = "Risk factors for recurrent nerve palsy after thyroid surgery: a national study of patients treated at Danish departments of ENT Head and Neck Surgery",
abstract = "Recurrent laryngeal nerve (RLN) injury is a well-known and serious complication to thyroid surgery. The objective was to estimate the frequency of post-thyroidectomy RLN palsy and to identify possible risk factors. Based on the Danish national thyroid surgery database, 6,859 patients treated with thyroid surgery from 1 January 2001 to the 31 December 2008 at the Danish departments of ENT-HNS were analyzed. Unilateral RLN palsy was found in 2.1 {\%} and bilateral in 0.1 {\%}. In benign histology, RLN palsies were registered in 1.3 {\%}. Malignant histology and accordingly neck dissection were the most predominant risk factors with a relative risk (RR) of 5.4 and 5.8, respectively. In benign cases previous performed thyroid surgery had a RR of 10.4. High volume departments with more than 150 thyroid procedures per year seem to perform significantly better. Malignant histology, neck dissection and previous performed thyroid surgery are the strongest predictors for RLN palsy and patient information should be given accordingly. Incomplete resections should be reserved for isthmectomy only. Centralization of thyroid surgery in larger units might improve quality.",
author = "Christian Godballe and Madsen, {Anders R{\o}rb{\ae}k} and S{\o}rensen, {Christian Hjort} and Sten Schytte and Waldemar Trolle and Jens Helweg-Larsen and Lisa Barfoed and Larry Kristiansen and S{\o}rensen, {Vibeke Zederkof} and Grethe Samuelsen and Pedersen, {Henrik Baymler}",
year = "2014",
month = "8",
doi = "10.1007/s00405-013-2767-7",
language = "English",
volume = "271",
pages = "2267--2276",
journal = "European Archives of Oto-Rhino-Laryngology",
issn = "0937-4477",
publisher = "Springer",
number = "8",

}

RIS

TY - JOUR

T1 - Risk factors for recurrent nerve palsy after thyroid surgery

T2 - a national study of patients treated at Danish departments of ENT Head and Neck Surgery

AU - Godballe, Christian

AU - Madsen, Anders Rørbæk

AU - Sørensen, Christian Hjort

AU - Schytte, Sten

AU - Trolle, Waldemar

AU - Helweg-Larsen, Jens

AU - Barfoed, Lisa

AU - Kristiansen, Larry

AU - Sørensen, Vibeke Zederkof

AU - Samuelsen, Grethe

AU - Pedersen, Henrik Baymler

PY - 2014/8

Y1 - 2014/8

N2 - Recurrent laryngeal nerve (RLN) injury is a well-known and serious complication to thyroid surgery. The objective was to estimate the frequency of post-thyroidectomy RLN palsy and to identify possible risk factors. Based on the Danish national thyroid surgery database, 6,859 patients treated with thyroid surgery from 1 January 2001 to the 31 December 2008 at the Danish departments of ENT-HNS were analyzed. Unilateral RLN palsy was found in 2.1 % and bilateral in 0.1 %. In benign histology, RLN palsies were registered in 1.3 %. Malignant histology and accordingly neck dissection were the most predominant risk factors with a relative risk (RR) of 5.4 and 5.8, respectively. In benign cases previous performed thyroid surgery had a RR of 10.4. High volume departments with more than 150 thyroid procedures per year seem to perform significantly better. Malignant histology, neck dissection and previous performed thyroid surgery are the strongest predictors for RLN palsy and patient information should be given accordingly. Incomplete resections should be reserved for isthmectomy only. Centralization of thyroid surgery in larger units might improve quality.

AB - Recurrent laryngeal nerve (RLN) injury is a well-known and serious complication to thyroid surgery. The objective was to estimate the frequency of post-thyroidectomy RLN palsy and to identify possible risk factors. Based on the Danish national thyroid surgery database, 6,859 patients treated with thyroid surgery from 1 January 2001 to the 31 December 2008 at the Danish departments of ENT-HNS were analyzed. Unilateral RLN palsy was found in 2.1 % and bilateral in 0.1 %. In benign histology, RLN palsies were registered in 1.3 %. Malignant histology and accordingly neck dissection were the most predominant risk factors with a relative risk (RR) of 5.4 and 5.8, respectively. In benign cases previous performed thyroid surgery had a RR of 10.4. High volume departments with more than 150 thyroid procedures per year seem to perform significantly better. Malignant histology, neck dissection and previous performed thyroid surgery are the strongest predictors for RLN palsy and patient information should be given accordingly. Incomplete resections should be reserved for isthmectomy only. Centralization of thyroid surgery in larger units might improve quality.

U2 - 10.1007/s00405-013-2767-7

DO - 10.1007/s00405-013-2767-7

M3 - Journal article

C2 - 24132654

VL - 271

SP - 2267

EP - 2276

JO - European Archives of Oto-Rhino-Laryngology

JF - European Archives of Oto-Rhino-Laryngology

SN - 0937-4477

IS - 8

ER -

ID: 138726930