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Place and value of the recurrent laryngeal nerve (RLN) palpatory method in preventing RLN palsy during thyroid surgery
Head & Neck, 12/29/08
Altorjay A et al. - Palpation was helpful in 81.4%, proved false positive in 8.2%, and in 10.4% it was of no help in the exact localization. Definitive RLN palsy was experienced in 0.78% of all cases, while transient paresis was encountered in 1.2%. Only a moderately strong stochastic correlation could be found between RLN palsies and those nerves which were nonpalpable and atypical, which showed the joint occurrence of being both thinner than normal and branching already before the plane of the inferior thyroid artery.
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