José Luis Pardal-Refoyo1. 1. Sección de Cirugía Tiroidea y Paratiroidea, Servicio de Otorrinolaringología, Hospital Virgen de La Concha, Zamora, España. jlpardal@saludcastillayleon.es
Abstract
INTRODUCTION: Identifying the recurrent laryngeal nerve is the gold standard for reducing injury in thyroidectomy. OBJECTIVE: To evaluate the usefulness of neuromonitoring in identifying the recurrent laryngeal nerve. METHODS: This was a study of 259 recurrent laryngeal nerves at risk during thyroidectomy performed with neuromonitoring (group A: 129 nerves) and without neuromonitoring (control group B: 130 nerves). RESULTS: The percentage of visually unidentified nerves was 18% in group A and 20% in group B, with no statistical difference. From the moment of non-identification, identification with neuromonitoring was achieved in group A in 100% of cases. The difference was statistically significant. The positive and negative predictive value of neuromonitoring was 100%. CONCLUSIONS: Neuromonitoring helps to identify the recurrent laryngeal nerve and increases the security of the surgeon in the technique. It is advisable to perform neuromonitoring routinely in thyroid surgery.
INTRODUCTION: Identifying the recurrent laryngeal nerve is the gold standard for reducing injury in thyroidectomy. OBJECTIVE: To evaluate the usefulness of neuromonitoring in identifying the recurrent laryngeal nerve. METHODS: This was a study of 259 recurrent laryngeal nerves at risk during thyroidectomy performed with neuromonitoring (group A: 129 nerves) and without neuromonitoring (control group B: 130 nerves). RESULTS: The percentage of visually unidentified nerves was 18% in group A and 20% in group B, with no statistical difference. From the moment of non-identification, identification with neuromonitoring was achieved in group A in 100% of cases. The difference was statistically significant. The positive and negative predictive value of neuromonitoring was 100%. CONCLUSIONS: Neuromonitoring helps to identify the recurrent laryngeal nerve and increases the security of the surgeon in the technique. It is advisable to perform neuromonitoring routinely in thyroid surgery.
Authors: Dorota Kuryga; Piotr Wojskowicz; Jaroslaw Szymczuk; Anna Wojdyla; Anna J Milewska; Marcin Barczynski; Jacek Dadan; Marek Rogowski; Piotr Mysliwiec Journal: Arch Med Sci Date: 2019-06-07 Impact factor: 3.318
Authors: Pietro Giorgio Calò; Giuseppe Pisano; Fabio Medas; Maria Rita Pittau; Luca Gordini; Roberto Demontis; Angelo Nicolosi Journal: J Otolaryngol Head Neck Surg Date: 2014-06-18