Usefulness of neuromonitoring in thyroid surgery

被引：13
作者：
Luis Pardal-Refoyo, Jose [1 ]
机构：
[1] Hosp Virgen Concha, Serv Otorrinolaringol, Secc Cirugia Tiroldea & Paratiroidea, Zamora, Spain
来源：
ACTA OTORRINOLARINGOLOGICA ESPANOLA | 2012年 / 63卷 / 05期
关键词：
Thyroid; Thyroidectomy; Surgery; Recurrent laryngeal nerve; Intraoperative nerve monitoring; Complications; Vocal cord; Harmonic;
D O I：
10.1016/j.otorri.2012.03.003
中图分类号：
R76 [耳鼻咽喉科学];
学科分类号：
100213 ;
摘要：
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 group B: 130 nerves). Results: The percentage of visually unidentified nerves was 18% in group A and 20% in group B, with no statistical difference. From the moment of non-identification, identification with neuromonitoring was achieved in group A in 100% of cases. The difference was statistically significant. The positive and negative predictive value of neuromonitoring was 100%. Conclusions: Neuromonitoring helps to identify the recurrent laryngeal nerve and increases the security of the surgeon in the technique. It is advisable to perform neuromonitoring routinely in thyroid surgery. (C) 2011 Elsevier Espana, S. L. All rights reserved.
引用
收藏
页码：355 / 363
页数：9
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