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Injury to the Superior Laryngeal Branch of the Vagus During Thyroidectomy: Lesson or Myth?

Identifieur interne : 000066 ( Ncbi/Merge ); précédent : 000065; suivant : 000067

Injury to the Superior Laryngeal Branch of the Vagus During Thyroidectomy: Lesson or Myth?

Auteurs : Peter F. Crookes ; James A. Recabaren

Source :

RBID : PMC:1421290

Abstract

Objective

To examine the historical evidence that the thyroidectomy performed on operatic soprano Amelita Galli-Curci was responsible for the abrupt termination of her career.

Summary Background Data

The superior laryngeal branch of the vagus nerve may be injured during thyroidectomy, producing vocal defects more subtle than those found after recurrent nerve injury. It is widely believed that Galli-Curci suffered superior laryngeal nerve injury during her thyroidectomy by Arnold Kegel, MD, in 1935, resulting in the termination of her career.

Methods

The authors examined contemporary press reviews after surgery, conducted interviews with colleagues and relatives of the surgeon, and compared the career of Galli-Curci with that of other singers.

Results

Evidence against the prevailing view is to be found in the fact that she continued to perform acceptably after surgery, her continued friendly relationship with the surgeon for years afterward, the absence of the typical effects of superior laryngeal nerve injury, and the presence of other explanations for the gradual decline in her vocal abilities (documentation of deterioration before surgery, physiologic changes in the larynx comparable to those found in most other famous sopranos who retire at about the same age or earlier, and the possible development of myxedema).

Conclusions

The story should no longer be perpetuated in surgical textbooks and papers.


Url:
PubMed: 11303143
PubMed Central: 1421290

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Links to Exploration step

PMC:1421290

Le document en format XML

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<title xml:lang="en">Injury to the Superior Laryngeal Branch of the Vagus During Thyroidectomy: Lesson or Myth?</title>
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<name sortKey="Crookes, Peter F" sort="Crookes, Peter F" uniqKey="Crookes P" first="Peter F." last="Crookes">Peter F. Crookes</name>
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<name sortKey="Recabaren, James A" sort="Recabaren, James A" uniqKey="Recabaren J" first="James A." last="Recabaren">James A. Recabaren</name>
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<name sortKey="Crookes, Peter F" sort="Crookes, Peter F" uniqKey="Crookes P" first="Peter F." last="Crookes">Peter F. Crookes</name>
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<title>Objective</title>
<p>To examine the historical evidence that the thyroidectomy performed on operatic soprano Amelita Galli-Curci was responsible for the abrupt termination of her career. </p>
</sec>
<sec>
<title>Summary Background Data</title>
<p>The superior laryngeal branch of the vagus nerve may be injured during thyroidectomy, producing vocal defects more subtle than those found after recurrent nerve injury. It is widely believed that Galli-Curci suffered superior laryngeal nerve injury during her thyroidectomy by Arnold Kegel, MD, in 1935, resulting in the termination of her career.</p>
</sec>
<sec>
<title>Methods</title>
<p>The authors examined contemporary press reviews after surgery, conducted interviews with colleagues and relatives of the surgeon, and compared the career of Galli-Curci with that of other singers.</p>
</sec>
<sec>
<title>Results</title>
<p>Evidence against the prevailing view is to be found in the fact that she continued to perform acceptably after surgery, her continued friendly relationship with the surgeon for years afterward, the absence of the typical effects of superior laryngeal nerve injury, and the presence of other explanations for the gradual decline in her vocal abilities (documentation of deterioration before surgery, physiologic changes in the larynx comparable to those found in most other famous sopranos who retire at about the same age or earlier, and the possible development of myxedema).</p>
</sec>
<sec>
<title>Conclusions</title>
<p>The story should no longer be perpetuated in surgical textbooks and papers.</p>
</sec>
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<journal-id journal-id-type="nlm-ta">Ann Surg</journal-id>
<journal-id journal-id-type="publisher-id">Annals of Surgery</journal-id>
<journal-title>Annals of Surgery</journal-title>
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<issn pub-type="epub">1528-1140</issn>
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<article-id pub-id-type="publisher-id">0000658-200104000-00016</article-id>
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<subject>Original Articles</subject>
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<title-group>
<article-title>Injury to the Superior Laryngeal Branch of the Vagus During Thyroidectomy: Lesson or Myth?</article-title>
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<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Crookes</surname>
<given-names>Peter F.</given-names>
</name>
<degrees>MD, FACS</degrees>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Recabaren</surname>
<given-names>James A.</given-names>
</name>
<degrees>MD, FACS</degrees>
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<aff id="N0x8cf6328.0x8bb6690">From the Department of Surgery, University of Southern California Keck School of Medicine, Los Angeles, California
<break></break>
</aff>
<pub-date pub-type="ppub">
<month>4</month>
<year>2001</year>
</pub-date>
<volume>233</volume>
<issue>4</issue>
<fpage>588</fpage>
<lpage>593</lpage>
<copyright-statement>© 2001 Lippincott Williams & Wilkins, Inc.</copyright-statement>
<abstract>
<sec>
<title>Objective</title>
<p>To examine the historical evidence that the thyroidectomy performed on operatic soprano Amelita Galli-Curci was responsible for the abrupt termination of her career. </p>
</sec>
<sec>
<title>Summary Background Data</title>
<p>The superior laryngeal branch of the vagus nerve may be injured during thyroidectomy, producing vocal defects more subtle than those found after recurrent nerve injury. It is widely believed that Galli-Curci suffered superior laryngeal nerve injury during her thyroidectomy by Arnold Kegel, MD, in 1935, resulting in the termination of her career.</p>
</sec>
<sec>
<title>Methods</title>
<p>The authors examined contemporary press reviews after surgery, conducted interviews with colleagues and relatives of the surgeon, and compared the career of Galli-Curci with that of other singers.</p>
</sec>
<sec>
<title>Results</title>
<p>Evidence against the prevailing view is to be found in the fact that she continued to perform acceptably after surgery, her continued friendly relationship with the surgeon for years afterward, the absence of the typical effects of superior laryngeal nerve injury, and the presence of other explanations for the gradual decline in her vocal abilities (documentation of deterioration before surgery, physiologic changes in the larynx comparable to those found in most other famous sopranos who retire at about the same age or earlier, and the possible development of myxedema).</p>
</sec>
<sec>
<title>Conclusions</title>
<p>The story should no longer be perpetuated in surgical textbooks and papers.</p>
</sec>
</abstract>
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