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Updates in Surgery
Published in: Updates in Surgery 3-4/2010

01-12-2010 | Original Article

Intraoperative neuromonitoring for thyroid malignancy surgery: technical notes and results from a retrospective series

Authors: Francesco Frattini, Alberto Mangano, Luigi Boni, Stefano Rausei, Antonio Biondi, Gianlorenzo Dionigi

Published in: Updates in Surgery | Issue 3-4/2010

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Abstract

This study evaluates the role of intraoperative neuromonitoring (IONM) for thyroidectomy performed in cancer patients with emphasis on postoperative recurrent laryngeal nerve paralysis (RLNP). The study is a retrospective series comprising 76 thyroidectomy alone (control group) versus 76 thyroidectomy with IONM. In the control group the laryngeal nerves have been identified by visualization solely. In the IONM group both vagal nerve and RLN have been localized and monitored during thyroid resection. The main surgical outcome was RLN morbidity. All patients undergo pre- and postoperative laryngeal examination. Overall RLN morbidity was 3.9% in the IONM group and 9.2% in the control group (P < 0.05). There have been two cases of permanent RLNP (2.6%) in the control group and one in the IONM group (1.3%), one case of bilateral RLN injury in the control group. The incidences of temporary RLNP in the IONM group have been 2.6 versus 6.5% in the control group. IONM is an effective procedure in thyroid cancer patients.
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Metadata
Title
Intraoperative neuromonitoring for thyroid malignancy surgery: technical notes and results from a retrospective series
Authors
Francesco Frattini
Alberto Mangano
Luigi Boni
Stefano Rausei
Antonio Biondi
Gianlorenzo Dionigi
Publication date
01-12-2010
Publisher
Springer Milan
Published in
Updates in Surgery / Issue 3-4/2010
Print ISSN: 2038-131X
Electronic ISSN: 2038-3312
DOI
https://doi.org/10.1007/s13304-010-0036-5

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