The BAETS (British Association of Endocrine and Thyroid Surgeons) audit data show that the risk of permanent recurrent laryngeal nerve palsy following total thyroidectomy performed by a high-volume surgeon (>100 cases/year) is approximately:
- A 1–2%
- B Less than 0.5% ✓
- C 3–5%
- D 5–10%
Correct answer: B. Less than 0.5%
Explanation
High-volume thyroid surgeons achieve permanent recurrent laryngeal nerve (RLN) palsy rates below 0.5% per nerve at risk. Transient RLN palsy occurs in 2–4% but typically resolves within 6 months. Volume-outcome relationships in thyroid surgery are well established, and routine intraoperative nerve monitoring has further reduced permanent injury rates. Low-volume surgeons have significantly higher complication rates.
Reference: Bailey & Love's Short Practice of Surgery, 27th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.