Preserving the Voice: Microscopic Safeguarding of Laryngeal Nerves in Thyroidectomy
摘要
Thyroidectomy is a key surgical procedure for managing thyroid disorders, with hypocalcemia and recurrent laryngeal nerve (RLN) palsy being its most common complications. Microscopic thyroidectomy, using magnification to enhance visualization, may improve preservation of vital structures. This study compares outcomes of microscopic versus traditional thyroidectomy. A total of 40 patients undergoing hemi or total thyroidectomy over one year were included. Twenty patients underwent microscopic thyroidectomy and twenty underwent the traditional approach. Operative time, intraoperative bleeding, and complications such as RLN and parathyroid injury were analysed. There was no significant difference in operative time or blood loss between the two groups. In the traditional group, 1 patient developed RLN palsy and 2 experienced hypocalcemia. No such complications were observed in the microscopic group. Microscopic thyroidectomy may reduce complication rates without increasing operative time, suggesting it is a safer alternative to the traditional approach.