Immediate Intraoperative Repair of the Recurrent Laryngeal Nerve in Thyroid Surgery.
Ricard SimoIain J NixonAleix RoviraVincent Vander PoortenÁlvaro SanabriaMark ZafereoDana M HartlLuiz P KowalskiGregory William RandolphDipti KamaniAshok R ShahaJatin ShahJean-Paul MarieAlessandra RinaldoAlfio FerlitoPublished in: The Laryngoscope (2020)
Current evidence is low-level; however, it suggests that when the RLN has been severed, avulsed, or sacrificed during thyroid surgery it should be repaired intraoperatively. The immediate repair has on balance more advantages than disadvantages and should be considered whenever possible. This should enable the maintenance of vocal cord tone, better and prompter voice recovery and avoidance of aspiration. Laryngoscope, 131:1429-1435, 2021.