Benefits of Intraoperative N. Laryngeus Recurrens Neuromonitoring in Thyroid Surgery

Czech version

Authors: B. Dudešek; J. Duben; L. Hnátek; Musil T. Gatěk J. Hradská K.; J. Kotoč
Authors‘ workplace: Chirurgické oddělení Nemocnice ATLAS a. s. Zlín, přednosta: prim. MUDr. J. Gatěk Ph. D.
Published in: Rozhl. Chir., 2008, roč. 87, č. 2, s. 80-85.
Category: Monothematic special - Original

Overview

Introduction:
N. laryngeus reccurens injury is a serious complication in thyroid surgery. Nerve visualization is a procedure preventing its traumatization. The visualization with additional intraopertive neuromonitoring results in further reduction of the n. laryngeus reccurens injury rates.

Aim:
Verification of the intraoperative neuromonitoring effects on reduction of the n. laryngeus reccurens injury rates.

Material, Methodology:
309 operated patients were included in the intraoperative neuromonitoring prospective study . A total of 295 patients were included in the study and intraoperative monitoring was performed per protocol.

Results:
Out of the total of 295 subjects, 1 patient sufferred from permanent paresis, ie. 0.33%, nerves at risk 0.2%. 6 subjects sufferred from transient pareses, i.e. 2.03%, nerves at risk 1.2%, with a prevailing 8-week recovery period of the ORL findings.

Conclusion:
Intraoperative neuromonitoring in thyroid surgery is yet another option for reduction of the n. laryngeus reccurens intraoperative injury rates.

Key words:
n. laryngeus reccurens –⁠ visualization –⁠ intraoperative neuromonitoring

Sources

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Article was published in

Perspectives in Surgery

2008 Issue 2