Matrix Science Pharma (MSP)

Injury of Recurrent Laryngeal Nerve in Thyroid Surgery: A Scoping Review

February 24, 2026 Posted by Basem In Uncategorized

INJURY OF RECURRENT LARYNGEAL NERVE IN THYROID SURGERY: A SCOPING REVIEW

Journal: Matrix Science Pharma (MSP)
Santosh Kumar Swain

This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited

DOI: 10.4103/mtsp.mtsp_31_24_1

ABSTRACT

Thyroid surgery is a common surgical procedure in routine surgical practice. Recurrent laryngeal nerve (RLN) injury is an important reason for medical disputes from thyroid surgery. One of the most feared complications of thyroid surgery is vocal cord paralysis brought on by RLN damage. Injury of RLN with vocal cord palsy is a complication of thyroidectomy that profoundly affects patients. Patients are severely disabled as a result, both mentally and physically. Even though RLN injuries are rare, they might compromise one’s quality of life. Asignificant clinical condition known as bilateral RLN damage occurs when both vocal cords assume the median or paramedian position, obstructing the airway and necessitating an immediate tracheostomy. Identification and preservation of nerves depend on intraoperative hemostasis and a thorough knowledge of RLN anatomy. Injury of RLN following thyroid surgery is one of the leading causes of medico‑legal litigation against the operating surgeon. Early identification of RLN injuries and appropriate management are crucial to prevent these surgical complications.

 

Pages 49-53
Year 2025
Issue 1
Volume 9

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