Neuromonitoring in thyroid surgery.
نویسندگان
چکیده
PURPOSE OF REVIEW Laryngeal nerve injuries are among the most important complications of thyroidectomy. Recently, the use of neuromonitoring has been increasingly employed in order to predict and document nerve function at the end of thyroidectomy. RECENT FINDINGS There is much controversy in recent studies concerning neuromonitoring in thyroid surgery. Some authors believe that the method does not bring any additional reduction in the paralysis rate of the laryngeal nerves. Other researchers defend its use only in selected cases and in very specific situations. Finally, some much respected surgeons advocate the routine use of neuromonitoring in all thyroidectomies. SUMMARY In this review, we try to present relevant recent publications dealing with this still controversial subject, emphasizing the advantages and disadvantages of neuromonitoring in thyroidectomy.
منابع مشابه
[Intraoperative neuromonitoring in thyroid surgery].
BACKGROUND Intraoperative neuromonitoring of the recurrent laryngeal nerve in thyroid surgery facilitates the identification of anatomical structures in cervical endocrine surgery reducing the frequency of vocal cord paralysis. OBJECTIVE To study the normal electrophysiological values of the vague and recurrent laryngeal nerves before and after thyroid surgery. To compare rates of injury of r...
متن کاملUsefulness of Neuromonitoring 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 ...
متن کاملEvaluation of the learning curve for intraoperative neural monitoring of the recurrent laryngeal nerves in thyroid surgery.
UNLABELLED Intraoperative neuromonitoring facilitates identification of the recurrent laryngeal nerves (RLN) and allows for predicting their postoperative function. Nevertheless, the outcome of thyroid surgery monitoring is affected by both the experience of the operator and his mastering of the technique. The aim of the study was the assessment of the learning curve for intraoperative RLN neur...
متن کاملIntraoperative neuromonitoring and other techniques limiting the number of complications in thyroid surgery
Evolution of surgical techniques, together with progress in other fields of medicine (particularly in anesthesiology) limited practically to zero the mortality in thyroid surgery. Further development in thyroid surgery is directed towards limitations of postoperative complication rates. The specific complications after thyroid surgery are hypoparathyroidism and recurrent laryngeal nerve (RLN) p...
متن کاملSafety and current achievements in thyroid surgery with neuromonitoring.
One of the most important complications during thyroid surgery is injury to the recurrent laryngeal nerve (RLN) which leads to dysfunction and palsy of the vocal folds. Adequate knowledge about the location of the RLN supported by neuromonitoring can help the operating surgeon to prevent this complication. Visualisation of the nerve alone seems to not be enough. Much more important is an estima...
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عنوان ژورنال:
- Current opinion in otolaryngology & head and neck surgery
دوره 20 2 شماره
صفحات -
تاریخ انتشار 2012