BACKGROUND: The continuous intraoperative nerve monitoring (CIONM) technique seems to be acknowledged as a useful tool to prevent impending nerve injury, because it constantly provides valuable real-time information. Aim of the study is to evaluate the impact of the CIONM technique on functional outcome i.e., recurrent laryngeal nerve (RLN) palsy, compared to the traditional surgical procedure. METHODS: From January to December 2016, 197 patients who underwent thyroid surgery were included in this retrospective study: 94 patients had CIONM procedure and 103 traditional technique, according to the order of the operating room list. RESULTS: A total of 8 patients showed a damage to left or right vocal cord: 3 patients after CIONM procedure, and 5 patients after traditional surgical procedure. After matching for propensity score, 188 patients were eventually considered and 7 RLN palsy were identified: 3 in CIONM and 4 in traditional surgical procedure. The analysis performed on the matched propensity score sample showed a non-significant difference between the two procedures. CONCLUSIONS: In our experience no significant differences in functional outcomes were found between the use of CIONM and the standard technique.
BACKGROUND: The continuous intraoperative nerve monitoring (CIONM) technique seems to be acknowledged as a useful tool to prevent impending nerve injury, because it constantly provides valuable real-time information. Aim of the study is to evaluate the impact of the CIONM technique on functional outcome i.e., recurrent laryngeal nerve (RLN) palsy, compared to the traditional surgical procedure. METHODS: From January to December 2016, 197 patients who underwent thyroid surgery were included in this retrospective study: 94 patients had CIONM procedure and 103 traditional technique, according to the order of the operating room list. RESULTS: A total of 8 patients showed a damage to left or right vocal cord: 3 patients after CIONM procedure, and 5 patients after traditional surgical procedure. After matching for propensity score, 188 patients were eventually considered and 7 RLN palsy were identified: 3 in CIONM and 4 in traditional surgical procedure. The analysis performed on the matched propensity score sample showed a non-significant difference between the two procedures. CONCLUSIONS: In our experience no significant differences in functional outcomes were found between the use of CIONM and the standard technique.
Authors: Rick Schneider; Joanna Przybyl; Uwe Pliquett; Michael Hermann; Markus Wehner; Uta-Carolin Pietsch; Fritjoff König; Johann Hauss; Sven Jonas; Steffen Leinung Journal: Am J Surg Date: 2010-04 Impact factor: 2.565
Authors: Gregory W Randolph; Henning Dralle; Hisham Abdullah; Marcin Barczynski; Rocco Bellantone; Michael Brauckhoff; Bruno Carnaille; Sergii Cherenko; Fen-Yu Chiang; Gianlorenzo Dionigi; Camille Finck; Dana Hartl; Dipti Kamani; Kerstin Lorenz; Paolo Miccolli; Radu Mihai; Akira Miyauchi; Lisa Orloff; Nancy Perrier; Manuel Duran Poveda; Anatoly Romanchishen; Jonathan Serpell; Antonio Sitges-Serra; Tod Sloan; Sam Van Slycke; Samuel Snyder; Hiroshi Takami; Erivelto Volpi; Gayle Woodson Journal: Laryngoscope Date: 2011-01 Impact factor: 3.325
Authors: Sophie Bidault; Elizabeth Girard; Marie Attard; Gabriel Garcia; Joanne Guerlain; Ingrid Breuskin; Eric Baudin; Julien Hadoux; Camilo Garcia; Livia Lamartina; Dana M Hartl Journal: Gland Surg Date: 2022-01