Pre and post operative assessment of voice changes in patients undergoing total thyroidectomy | Zendy

D.M.C.D. Dissanayake | Zendy; Ranil Fernando | Zendy; B N L Munasinge | Zendy; Suchintha Thilakarathne | Zendy; Denise Pinto | Zendy; U A Uragoda | Zendy

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Pre and post operative assessment of voice changes in patients undergoing total thyroidectomy

Author(s) -

D.M.C.D. Dissanayake,

Ranil Fernando,

B N L Munasinge,

Suchintha Thilakarathne,

Denise Pinto,

U A Uragoda

Publication year - 2017

Publication title -

ceylon medical journal

Language(s) - English

Resource type - Journals

eISSN - 2386-1274

pISSN - 0009-0875

DOI - 10.4038/cmj.v62i2.8481

Subject(s) - medicine , medical journal , ceylon , sri lanka , family medicine , alternative medicine , relevance (law) , library science , medical education , law , pathology , ancient history , political science , south asia , computer science , history

A change in voice following total thyroidectomy (TT) is a complication feared by many patients. The close proximity of the recurrent laryngeal nerve (RLN) and external branch of superior laryngeal nerve (EBSLN) to the thyroid gland may cause injury to the nerves due to intra operative; traction, indirect thermal injury, their handling, surrounding tissue oedema, as well as haemaoma formation following surgery [1]. In experienced hands this complication occurs in 1-2%. Thus, fear of nerve injury is a real concern to patient [2]. People who depend on the voice for their professions such as teachers, singers are the most affected.

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