Kazeev Dmitry A. (Postgraduate Student Of The Department of Surgery, Endosurgery, Vascular Surgery With a Course in Angiology, Stavropol State Medical University of The Ministry of Health of The Russian Federation, Stavropol
Stavropol State Medical University, Russian Federation
)
Baychorov Enver H. (Doctor of medical sciences, Professor
Head of the Department of Surgery and Endosurgery with a course of Vascular Surgery and Angiology, Stavropol State Medical University of the Ministry of Health of the Russian Federation, Stavropol
Stavropol State Medical University, Russian Federation
)
Botasheva Valentina S. (Doctor of medical sciences, Professor
Professor of the Department of Pathological Anatomy "Stavropol State Medical University" of the Ministry of Health of the Russian Federation, Stavropol
Stavropol State Medical University, Russian Federation
)
Erkenova Larisa D. (Candidate of medical sciences
Associate Professor of the Department of Pathological Physiology "Stavropol State Medical University" of the Ministry of Health of the Russian Federation, Stavropol
Stavropol State Medical University, Russian Federation
)
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Thyroid diseases are among the most prevalent conditions within the spectrum of endocrine pathology worldwide. The prevalence of undiagnosed thyroid dysfunction in the general population is estimated to be 6–7%, with an annual incidence of approximately 260 cases per 100000 people. Nodular formations are frequently observed within the spectrum of thyroid pathologies. Total thyroidectomy remains the most common surgical procedure performed in endocrine surgery for the management of various thyroid conditions. However, this procedure carries a risk of recurrent laryngeal nerve injury, with reported rates reaching up to 6%.
The aim of this study was to conduct a pathomorphological analysis of thyroid nodular formations and assess the frequency of recurrent laryngeal nerve damage during surgical interventions.
The study cohort included 98 patients, with a median age of 50 years (range 18–80). The recurrent laryngeal nerve injury was documented as a complication of thyroidectomy in 6 out of 98 patients (6%). Among these, autoimmune thyroiditis was identified in 5 of the 6 cases (83%), and diffuse nodular goiter in 1 case (17%). Notably, no recurrent laryngeal nerve damage was observed in patients with nodular goiter or thyroid adenoma. Surgical thyroid biopsies underwent histological and immunohistochemical analysis.
Thyroid nodular formations represent a heterogeneous group of conditions with distinct morphological characteristics. Differentiating these conditions based solely on clinical data is highly challenging. Therefore, histological and, in some cases, immunohistochemical analyses are essential diagnostic tools for establishing a definitive diagnosis.
Keywords:nodular goiter, thyroid adenoma, autoimmune thyroiditis, thyroidectomy, recurrent laryngeal nerve injury
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Citation link:
Kazeev D. A., Baychorov E. H., Botasheva V. S., Erkenova L. D. RECURRENT LARYNGEAL NERVE INJURY DURING SURGICAL TREATMENT OF THYROID NODULES: THE SINGLE-CENTER OBSERVATIONAL DATA // Современная наука: актуальные проблемы теории и практики. Серия: Естественные и Технические Науки. -2024. -№12/2. -С. 70-77 DOI 10.37882/2223-2966.2024.12-2.08 |
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