@article{Salih_Ali_smael_Gubari_Salih_Aziz_2016, title={Preventing nerve damage during total thyroidectomy or total lobectomy surgeries}, volume={20}, url={https://zjms.hmu.edu.krd/index.php/zjms/article/view/142}, DOI={10.15218/zjms.2016.0036}, abstractNote={<p style="text-align: justify; text-justify: inter-ideograph;"><strong><span style="font-family: ’Arial’,’sans-serif’; font-size: 12pt;">Background and objective: </span></strong><span style="font-family: ’Arial’,’sans-serif’; font-size: 12pt;">Thyroidectomy is an operation that involves surgical removal of all or part of the thyroid gland. The main postoperative complications of thyroidectomy are hypoparathyroidism and recurrent laryngeal nerve injury. This study aimed to find out the main postoperative complications particularly nerve damage during total thyroidectomy or total lobectomy.</span></p> <p style="text-align: justify; text-justify: inter-ideograph;"><strong><span style="font-family: ’Arial’,’sans-serif’; font-size: 12pt;">Methods: </span></strong><span style="font-family: ’Arial’,’sans-serif’; font-size: 12pt;">The medical records of patients who were diagnosed with thyroid disease and underwent surgery between January 2</span><sup><span style="font-size: 12pt; line-height: 115%; font-family: ’Arial’,’sans-serif’;">nd</span></sup><span style="font-family: ’Arial’,’sans-serif’; font-size: 12pt;">, 2013 and December 30</span><sup><span style="font-size: 12pt; line-height: 115%; font-family: ’Arial’,’sans-serif’;">th</span></sup><span style="font-family: ’Arial’,’sans-serif’; font-size: 12pt;">, 2014 in Teaching, Shar, Soma and Zhian hospitals in Sulaimaniyah were retrospectively reviewed.</span><span style="font-family: ’Arial’,’sans-serif’;"> </span></p> <p style="text-align: justify; text-justify: inter-ideograph;"><strong><span style="font-family: ’Arial’,’sans-serif’; font-size: 12pt;">Results: </span></strong><span style="font-family: ’Arial’,’sans-serif’; font-size: 12pt;">All patients who underwent total thyroidectomy or total lobectomy surgeries were discharged within 24 hours of the operation. During the average follow-up of 24 months, no case of permanent recurrent laryngeal nerve injury was registered. Vocal cord paralysis was considered to be present, when there was absent or markedly reduced movement of the affected vocal cord.</span><span style="font-family: ’Arial’,’sans-serif’;"> <strong> </strong>     </span></p> <p style="text-align: justify; text-justify: inter-ideograph;"><strong><span style="font-family: ’Arial’,’sans-serif’; font-size: 12pt;">Conclusions: </span></strong><span style="font-family: ’Arial’,’sans-serif’; font-size: 12pt;">Meticulous hemostasis and a delicate technique are required to prevent nerve injury. We recommend dissection and division of all the vessels flush with the thyroid capsule at the anterior and peripheral aspect of the gland. Separate ligation of anterior and posterior branched of the superior thyroid artery will preserve the external branch of the superior laryngeal nerves.</span><span style="font-family: ’Arial’,’sans-serif’;">   <strong> </strong> </span><span style="font-family: ’Arial’,’sans-serif’;"> </span><span style="font-family: ’Arial’,’sans-serif’;">       </span></p>}, number={2}, journal={Zanco Journal of Medical Sciences (Zanco J Med Sci)}, author={Salih, AbdulWahid M. and Ali, Hawar Hasan and smael, Diary A. and Gubari, Mohammed I. and Salih, Karzan Mohammed and Aziz, Masrur Sleman}, year={2016}, month={Aug.}, pages={1390–1395} }