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Unexpected postoperative incidental recurrent laryngeal nerve palsy post total thyroidectomy after intraoperative nerve monitoring (overstimulation and fatigability): a case report.


ABSTRACT:

Background

Postoperative recurrent or permanent recurrent laryngeal nerve injury is one of the most serious complications in the field of thyroid surgery, in either benign or malignant thyroid disease, significantly affecting patients' quality of life. The importance of recurrent laryngeal nerve identification intraoperatively reduces the risk of injury. We report herein a young patient who underwent nerve monitoring in total thyroidectomy that led to recurrent laryngeal nerve injury.

Case presentation

We report a 30-year-old Arab male patient who presented to our clinic with a longstanding thyroid swelling, which was reported as papillary thyroid carcinoma, and was scheduled for total thyroidectomy and lymph node dissection. Nerve monitoring was used to identify the recurre

SUBMITTER: Alshehri S 

PROVIDER: S-EPMC11869657 | biostudies-literature | 2025 Feb

REPOSITORIES: biostudies-literature