| Autor: |
G, Florio, G, D'Amata, M, Crovaro, L, Musmeci, F, Manzi, P, Carnì, M, Del Papa |
| Rok vydání: |
2020 |
| Předmět: |
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| Zdroj: |
Il Giornale di chirurgia. 40(5) |
| ISSN: |
1971-145X |
| Popis: |
This retrospective study, of a single surgeon's experience, evaluates the role of intraoperative neuromonitoring (IONM) for total thyroidectomy, in a low-volume district general hospital. 128 patients with normal preoperative vocal fold function underwent thyroid surgery with routine use of nerve monitoring. Patients were followed for 6 months after surgery, and postoperative Romanerve function was determined by fiberoptic laryngoscopy. One (0,8%) patient was found to have a unilateral vocal fold paralysis, but after 6 months this patient had regained vocal fold motion. The technique of intraoperative neuromonitoring in thyroid surgery is safe and reliable in excluding postoperative recurrent laryngeal nerve palsy; it has high accuracy, specificity, sensitivity and negative predictive value. Neuromonitoring is useful to identify the recurrent laryngeal nerve and it can be a useful adjunctive technique for reassuring surgeons of the functional integrity of the nerve. Its application can be particularly recommended for low-volume thyroid operation centres. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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