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Pt JNM Medical College, India
Title: Revisiting External Laryngeal Nerve : Our Experience

Dr Manya Thakur has completed her MS ENT & HNS with gold medal at the age of 27 years from SAIMS Medical College Indore, India. She is Assistant Professor in Pt JNM Medical College. She has won Gold Medals in various Poster and Paper presentation in her state. She has been International Visiting Scholar at Asan Medical Centre in Seoul, South Korea and also represented her as young otolaryngologist of the day at ME OTO Dubai. She has presented paper in various National and International Conference in Thailand, South Korea, Dubai etc Recently awarded with Gold Medal in Rhinoplasty and Facial plastic surgery workshop Exam in Indore. She has been active member of organizing committee in various National and International conferences and workshop. She is also serving as an editorial board member of reputed Journals.


Objectives - To Study Surgical Anatomy of External Laryngeal Nerve and it’s variation in relation to Thyroid Surgery. To sensitize Surgeon about the need of nerve identification & preservation of voice quality in all the patients undergoing Thyroid Surgeries. Methodology – A Non-randomized prospective Study was carried out from July 2011 to July 2014 in patients undergoing Thyroid surgery, attending ENT OPD of SAIMS, Indore. The External Laryngeal nerve was identified and preserved intra operatively. The function of Nerve was assessed and documented by pre op & post op EGG and Video laryngoscopy. Results- Intraoperative identification of ELN leads to significant reduction in morbidity in patient undergoing thyroid surgery and preserves the voice quality. A permanent drop in Fundamental Frequency (Fo) was seen in significant number of patients when the nerve was not identified during surgery. Conclusion - Today in the era of 21st century where we are reaching new horizons, efforts to further refine thyroid surgery continues. Good range of voice is not only important for Singers but for Teachers, Politicians, RJ, public speakers etc too. These are just few examples in which the career depends to an extent on good voice quality. A Surgeon’s attempt to preserve External Laryngeal Nerve by spending few extra minutes confers almost negligible changes in voice quality in post Thyroidectomy patients. Keywords External Laryngeal Nerve,Voice Quality, Thyroid Surgery, Superior Thyroid Pedicle, Fundamental Frequency

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