scholarly journals Identification alone versus intraoperative neuromonitoring of the recurrent laryngeal nerve during thyroid surgery: experience of 2034 consecutive patients

Author(s):  
Pietro Giorgio Calò ◽  
Giuseppe Pisano ◽  
Fabio Medas ◽  
Maria Rita Pittau ◽  
Luca Gordini ◽  
...  
2019 ◽  
Vol 65 (3) ◽  
pp. 342-348
Author(s):  
Viktor Makarin ◽  
Anna Uspenskaya ◽  
Arseniy Semenov ◽  
Natalya Timofeeva ◽  
Roman Chernikov ◽  
...  

Laryngeal muscles paresis ranks second in prevalence of postoperative complications after thyroid surgery. Intraoperative neuromonitoring (IONM) of recurrent laryngeal nerve (RLN) results in reduction of cases with dysphonia and prevents such severe complication as bilateral paresis. Currently there are two types of monitoring: intermittent and continual. When using intermittent IONM surgeon has no opportunity to control electrophysiology state of RLN during intervals between stimulations. In case of continual IONM date on amplitude and latency are available to surgeon in real time every second, allowing him instantly react to any disturbance of neural transmission to prevent its damage by changing surgical manipulation. This work presents the first experience of using continual neuromonitoring of RLN in Russia, the procedure is described in details its safety. It is represented the possibility of prevention of bilateral laryngeal muscles paresis.


2010 ◽  
Vol 26 (12) ◽  
pp. 633-639 ◽  
Author(s):  
Feng-Yu Chiang ◽  
I-Cheng Lu ◽  
Hui-Chun Chen ◽  
Hsiu-Ya Chen ◽  
Cheng-Jing Tsai ◽  
...  

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