Frequency and Influencing Factors of Recurrent Laryngeal Nerve Injury Following Thyroid Surgery: A Systematic Review and Meta-Analysis - Takeaways - MDSpire

Frequency and Influencing Factors of Recurrent Laryngeal Nerve Injury Following Thyroid Surgery: A Systematic Review and Meta-Analysis

  • By

  • Rifat Awawda

  • Shlomo Merchavy

  • Uday Abd Elhadi

  • Alaa Safia

  • April 29, 2026

  • 0 min

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  • 1

    Recurrent laryngeal nerve injury (RLNI) is a significant complication of thyroid surgery, impacting voice and quality of life.

  • 2

    Transient RLNI rates were highest after completion thyroidectomy (10%) and hemithyroidectomy (8%), while near-total thyroidectomy had the lowest (2%).

  • 3

    Surgical approach significantly influenced RLNI risk, with transoral and transcervical methods showing higher transient injury rates compared to transaxillary.

  • 4

    Permanent RLNI was most common in secondary thyroidectomy, highlighting the increased risk associated with revision surgeries.

  • 5

    Optimizing surgical techniques and intraoperative strategies is essential to minimize the risk of RLNI during thyroid operations.

Original Source(s)

Frequency and Influencing Factors of Recurrent Laryngeal Nerve Injury Following Thyroid Surgery: A Systematic Review and Meta-Analysis

  • by Rifat Awawda, Shlomo Merchavy, Uday Abd Elhadi, Alaa Safia

  • April 29, 2026

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