Acta otorrinolaringologica espanola · 2012
Usefulness of neuromonitoring in thyroid surgery.
Контролируемое клиническое исследованиеСтатьяНазвание и аннотация: Перевод в очереди
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Pardal-Refoyo José Luis
Аннотация
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.
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.
Предметные рубрики MeSH
AgedDysphoniaElectromyographyFemaleHemostasis, SurgicalHumansIncidenceIntraoperative ComplicationsLaryngoscopyMaleMiddle AgedMonitoring, IntraoperativeProspective StudiesRecurrent Laryngeal Nerve InjuriesRisk FactorsThyroid DiseasesThyroid NeoplasmsThyroidectomyUltrasonic Surgical ProceduresVagus Nerve Injuries