Thyroid reoperation using intraoperative neuromonitoring

Autor: Beata Wojtczak, Krzysztof Kaliszewski, Marcin Barczyński, Marek Bolanowski, Krzysztof Sutkowski
Rok vydání: 2017
Předmět:
Adult
Male
Reoperation
medicine.medical_specialty
Endpoint Determination
Endocrinology
Diabetes and Metabolism
Operative Time
030230 surgery
Extent of resection
Identification rate
Cohort Studies
03 medical and health sciences
Young Adult
0302 clinical medicine
Endocrinology
Postoperative Complications
Recurrent laryngeal nerve
Monitoring
Intraoperative
Clinical endpoint
Prevalence
Medicine
Humans
Paralysis
Endocrine Surgery
Paresis
Intraoperative neuromonitoring
Aged
Retrospective Studies
Aged
80 and over
Surgeons
business.industry
Thyroid
Retrospective cohort study
Middle Aged
Surgery
medicine.anatomical_structure
030220 oncology & carcinogenesis
Anesthesia
Recurrent Laryngeal Nerve Injuries
Thyroidectomy
Female
medicine.symptom
business
Radical resection
Thyroid reoperation
Vocal Cord Paralysis
Zdroj: Endocrine
ISSN: 1559-0100
Popis: Purpose Thyroid reoperations are at a high risk of recurrent laryngeal nerve (RLN) injury. The aim of the study was to investigate whether the use of intraoperative neuromonitoring (IONM) can aid in the RLN identification and minimize the risk of its injury, in comparison with visual RLN identification. Methods This was a retrospective cohort study of patients who underwent thyroid reoperations with and without the use of IONM. Primary endpoint was the RLN identification rate; secondary: the prevalence of RLN injury, the frequency of total thyroidectomies, and the course of the RLN. Results The study involved 61 patients undergoing thyroid reoperation among whom 24 were operated on with visual RLN identification only, while 37 procedures used IONM. In the non-monitored reoperations, 44.4% of the RLN were visually identified, as opposed to 91.6% in the IONM group (p
Databáze: OpenAIRE
Externí odkaz: