Recurrent laryngeal nerve injury in thyroid surgery: Clinical pathways and resources consumption

Cesare Carlo Ferrari, Stefano Rausei, Francesco Amico, Luigi Boni, Feng Yu Chiang, Che Wei Wu, Hoon Yub Kim, Gianlorenzo Dionigi

Research output: Contribution to journalArticle

4 Citations (Scopus)


Background: The impact of recurrent laryngeal nerve (RLN) injury management in thyroid surgery seems to be relevant to patients, National Healthcare System (NHS), and society. Methods: We studied resource consumption in the management of patients with RLN injury versus noninjured patients investigating 3 perspectives (patients, NHS, and society) in 5 clinical pathways. Results: Direct medical costs supported by the NHS range from a minimum of euro (€) 79.46 to a maximum of € 3261.95. From the patient's perspective, the direct medical costs supported by the patient increased from a minimum of € 3.60 to a maximum of € 499.45. Productivity losses were accounted in € 156 per day per patient. From the NHS perspective, the percentage increase ranged from 43.25% to 98.14%. From the patient's perspective, it ranged from 51.52% to 80.60%. Conclusion: The analysis shows a significant economic impact of RLN injury management, which varies depending on the damage, duration, and severity.

Original languageEnglish
Pages (from-to)1657-1665
Number of pages9
JournalHead and Neck
Issue number11
Publication statusPublished - 2016 Nov 1



  • cost analysis
  • recurrent laryngeal nerve (RLN) injury
  • thyroid surgery
  • vocal fold palsy
  • voice damage

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Ferrari, C. C., Rausei, S., Amico, F., Boni, L., Chiang, F. Y., Wu, C. W., Kim, H. Y., & Dionigi, G. (2016). Recurrent laryngeal nerve injury in thyroid surgery: Clinical pathways and resources consumption. Head and Neck, 38(11), 1657-1665.