caa a22 4500 477098452 CHVBK 20180405111534.0 cr unu---uuuuu 170330e19961201xx s 000 0 eng 10.1007/BF02616290 doi (NATIONALLICENCE)springer-10.1007/BF02616290 Recurrent nerve palsy and hypocalcemia after surgery of benign thyroid diseases [Elektronische Daten] [J. Witte, D. Simon, Cornelia Dotzenrath, J. Sensfuß, P. Goretzki, H. Röher] Rekurrensparese und Hypoparathyreoidismus—Komplikationen der Chirurgie gutartiger Schilddrüsenerkrankungen Summary: Background: A critical analysis of early and late postoperative complications is necessary to assure the quality of surgery for benign thyroid diseases. The 2 major complications are palsy of the recurrent laryngeal nerve and hypoparathyroidism. Yet, long-term and follow up studies. as well as pre and post operative investigations are rather scarce. Methods: 3246 patients operated on for benign thyroid diseases between 4/86 and 12/93 were retrospectively screened and analyzed for early postoperative recurrent laryngeal nerve palsy and hypoparathyroidism. Permanent laryngeal nerve paralysis and hypocalcemia was investigated by sending questionnaires to these patients and their physicians. Results: 88 patients (2.7%) had aerly postoperative laryngeal nerve palsy. 58 (1.78%) of them recovered completely. reducing the cases of permanent paralysis to 30 patients (0.92%), 22 of which had proven (0.68%) permanent recurrent laryngeal nerve paralysis. The 8 questionable cases (0.24%) could not be evaluated. Hypoparathyroidism necessitating calcium and/or vitamin D-treatment for more than 2 years was present in 18 patients (0.6%), which were without symptoms under this medication. Conclusions: Dissecting the recurrent laryngeal nerve and visualizing the parathyroid glands during surgery for benign thyroid diseases decrease nerve paralysis and hypoparathyroidism to a permanent prevalence of less than 1%. Blackwell Science Ltd, 1996 Thyroid surgery nationallicence benign thyroid diseases nationallicence recurrent laryngeual nerve palsy nationallicence hypoparathyroidism nationallicence permanent outcome nationallicence Schilddrüsenoperation nationallicence gutartige Schilddrüsenerkrankungen nationallicence Nervus-recurrens-Parese nationallicence Hypoparathyreoidismus nationallicence Spätergebnisse nationallicence Witte J. Department of General and Trauma Surgery, Heinrich-Heine-University, Moorenstraße 5, D-40225, Düsseldorf, Germany aut Simon D. Department of General and Trauma Surgery, Heinrich-Heine-University, Moorenstraße 5, D-40225, Düsseldorf, Germany aut Dotzenrath Cornelia Department of General and Trauma Surgery, Heinrich-Heine-University, Moorenstraße 5, D-40225, Düsseldorf, Germany aut Sensfuß J. Department of General and Trauma Surgery, Heinrich-Heine-University, Moorenstraße 5, D-40225, Düsseldorf, Germany aut Goretzki P. Department of General and Trauma Surgery, Heinrich-Heine-University, Moorenstraße 5, D-40225, Düsseldorf, Germany aut Röher H. Department of General and Trauma Surgery, Heinrich-Heine-University, Moorenstraße 5, D-40225, Düsseldorf, Germany aut Acta Chirurgica Austriaca Springer-Verlag 28/6(1996-12-01), 361-363 0001-544X 28:6<361 1996 28 10353 https://doi.org/10.1007/BF02616290 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF02616290 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Witte J. Department of General and Trauma Surgery, Heinrich-Heine-University, Moorenstraße 5, D-40225, Düsseldorf, Germany aut NATIONALLICENCE 700 1- Simon D. Department of General and Trauma Surgery, Heinrich-Heine-University, Moorenstraße 5, D-40225, Düsseldorf, Germany aut NATIONALLICENCE 700 1- Dotzenrath Cornelia Department of General and Trauma Surgery, Heinrich-Heine-University, Moorenstraße 5, D-40225, Düsseldorf, Germany aut NATIONALLICENCE 700 1- Sensfuß J. Department of General and Trauma Surgery, Heinrich-Heine-University, Moorenstraße 5, D-40225, Düsseldorf, Germany aut NATIONALLICENCE 700 1- Goretzki P. Department of General and Trauma Surgery, Heinrich-Heine-University, Moorenstraße 5, D-40225, Düsseldorf, Germany aut NATIONALLICENCE 700 1- Röher H. Department of General and Trauma Surgery, Heinrich-Heine-University, Moorenstraße 5, D-40225, Düsseldorf, Germany aut NATIONALLICENCE 773 0- Acta Chirurgica Austriaca Springer-Verlag 28/6(1996-12-01), 361-363 0001-544X 28:6<361 1996 28 10353 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer