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Prof. Hamdy Mahfouz Moustafa
 

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Faculty of Medicine- Al-Azhar University, Assiut
 

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April 2012 - Volume 10 - Issue 2
Editor-in-Chief: Prof Dr. Hamdy Mahfouz Moustafa ISSN: 1687-1693 Frequency: 4

ROLE OF CORTICOSTEROIDS IN RECURRENT LARYNGEAL NERVE PALSY AFTER TOTAL THYROIDECTOMY
Marwan M. M. Borham,


Publisher:
DOI:

Abstract

The aim of this study is to evaluate the effect of corticosteroids in preventing or treating postoperative recurrent laryngeal nerve palsy (RLNP) after total thyroidectomy. Patients and study: This prospective study was performed on 155 consecutive patients presented by goiter indicated for surgery and underwent total thyroidectomy. All patients were subjected for clinical assessment, routine laboratory investigations, thyroid functions, serum calcium, thyroid ultrasound, soft tissue plain x-ray on the neck, radioactive iodine imaging of gland in some cases, and pre and postoperative assessment of the vocal cords mobility. All thyrotoxic patients were controlled by antithyroid drugs until being euthyroid before surgery. These patients were divided into two groups; steroids group (n=70) in whom the intraoperative and postoperative steroids was given, and control group (n=85) in whom no steroids was given. Routine identification of RLN was performed during all operative procedures. Postoperative assessment of vocal cords mobility was done and when vocal cord palsy was identified, follow-up was done, initially after one week, then every 3-4 weeks, until recovery was achieved, with dysfunction considered permanent if it still persisted after 6 months.