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New research · Otolaryngology (ENT)
The American surgeon · 1w
Cohort studyThe American surgeon · 2026

Multidisciplinary Management of Recurrent Laryngeal Nerve Injury After Transhiatal Esophagectomy.

Coleton Evans, Anish Jomy, María Del Pilar Martínez … D Rohan Jeyarajah
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Otolaryngology (ENT)Cohort study

All confirmed recurrent laryngeal nerve paralysis cases after transhiatal esophagectomy required corrective surgery

Multidisciplinary Management of Recurrent Laryngeal Nerve Injury After Transhiatal Esophagectomy.

Coleton Evans … D Rohan Jeyarajah
The American surgeon · 2026
Background

Recurrent laryngeal nerve (recurrent laryngeal nerve) injury is a significant morbidity following transhiatal esophagectomy (transhiatal esophagectomy).

Purpose

This study evaluates recurrent laryngeal nerve injury incidence and the effectiveness of a multidisciplinary management pathway in a contemporary cohort.

Methods

A retrospective review of 135 patients undergoing transhiatal esophagectomy with cervical anastomosis between 2017 and 2024 was conducted.

n = 135 patients
Results
100%
all confirmed vocal cord paralysis cases needed surgery to restore voice, none healed on their own
n = 135 patients
More results

The primary outcome was confirmed recurrent laryngeal nerve injury via laryngoscopy and postoperative hoarseness.

Postoperative hoarseness occurred in 43.7% (n = 59) of patients, while recurrent laryngeal nerve injury was confirmed in 11.9% (n = 16), which falls within the reported national average.

Notably, only 44.1% of symptomatic patients completed an ENT referral.

More results

Mean specialty follow-up for the intervention group was 20.8 months.

“
Conclusion

To bridge the significant gap in specialty follow-through and mitigate complications like aspiration, a standardized, proactive multidisciplinary referral protocol is necessary.

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