Intraoperative recurrent laryngeal nerve monitoring in revision thyroidectomy
| Autor: | Nikolaos Chatzakis, Heinrich Iro, Stylianos Velegrakis, George A. Velegrakis, Emmanuel P. Prokopakis, Antigoni Kaprana, Irene Panagiotaki |
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| Rok vydání: | 2012 |
| Předmět: |
Male
Reoperation medicine.medical_specialty Intraoperative Neurophysiological Monitoring Recurrent laryngeal nerve medicine Humans Intraoperative Complications Aged Palsy business.industry Recurrent Laryngeal Nerve Incidence (epidemiology) Incidence Thyroid General Medicine Middle Aged Revision thyroidectomy Surgery medicine.anatomical_structure Otorhinolaryngology Anesthesia Recurrent Laryngeal Nerve Injuries Thyroidectomy Female Neurosurgery Parathyroid surgery business Vocal Cord Paralysis |
| Zdroj: | European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery. 270(9) |
| ISSN: | 1434-4726 |
| Popis: | Recurrent laryngeal nerve (RLN) palsy is one of the most important complications after thyroid and parathyroid surgery. There is controversy in the literature regarding whether or not intraoperative nerve monitoring decreases the risk of injury. We report our experience using Nerve Integrity Monitoring (NIM) system in cases of revision thyroidectomy, providing clear indications for its use. A series of 97 patients who underwent revision thyroidectomy with and without intraoperative NIM alternately was evaluated. There were 121 RLN patients at risk. Use of NIM during revision thyroidectomy was not statistically significant compared to revision operation without monitoring (p value = 0.059). Furthermore, comparison of operative times either with or without NIM showed that use of NIM led to statistically significant prolonged operation time (p value |
| Databáze: | OpenAIRE |
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