Endrocrinology Question - Step 1 - UWorld Forums For USMLE, ABIM, ABFM, and NCLEX Forums

Which Nerve is more prone to damage in Thyroidectomy ?

A) Superior Laryngeal Nerve or B) Recurrent Laryngeal Nerve ?

Earlier somewhere i read that RLN , but today on uworld i Read SLN is at risk of injury during thyroidectomy.... Which one to pick if such question come in exam ?

Thanks

Medic-Rx wrote:

Which Nerve is more prone to damage in Thyroidectomy ?

A) Superior Laryngeal Nerve or B) Recurrent Laryngeal Nerve ?

Earlier somewhere i read that RLN , but today on uworld i Read SLN is at risk of injury during thyroidectomy.... Which one to pick if such question come in exam ?

Thanks

would pick RLN always if hoarseness is mentioned.......but consider this that if there is a definite nerve injury described in the case but the patient is asymptomatic then choose SLN as it is mostly sensory

Medic-Rx wrote:

Which Nerve is more prone to damage in Thyroidectomy ?

A) Superior Laryngeal Nerve or B) Recurrent Laryngeal Nerve ?

Earlier somewhere i read that RLN , but today on uworld i Read SLN is at risk of injury during thyroidectomy.... Which one to pick if such question come in exam ?

Thanks

...Recurrent LN is more prone to injury in thyroidectomy.

recurrent laryngeal nerve.. as it has more longer course in the neck

Thanks Everybody

Conclusion :

Choose Recurrent Laryngeal nerve if presented & you think 50-50%

Choose Superior Laryngeal nerve if a nerve get damage near Superior Thyroid Artery & No symptoms of Hoarseness.

Choose Recurrent Laryngeal nerve if a nerve get damage near Inferior Thyroid Artery, With Symptoms of Hoarseness

Happy Studying