Benefits of Intraoperative N. Laryngeus Recurrens Neuromonitoring in Thyroid Surgery
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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Surgery Orthopaedics Trauma surgeryArticle was published in
Perspectives in Surgery
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2008 Issue 2
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