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Should intraoperative nerve monitoring be used routinely in primary thyroid surgeries?

OBJECTIVE: This study presents the effects of intraoperative nerve monitoring on RLN injuries in patients who underwent primary surgery for benign thyroid pathology. METHODS: We retrospectively evaluated the data of 273 patients who had primary thyroidectomy due to benign thyroid pathology between J...

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Autores principales: Akici, Murat, Cilekar, Murat, Yilmaz, Sezgin, Arikan, Yuksel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Professional Medical Publications 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6994879/
https://www.ncbi.nlm.nih.gov/pubmed/32063974
http://dx.doi.org/10.12669/pjms.36.2.1054
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author Akici, Murat
Cilekar, Murat
Yilmaz, Sezgin
Arikan, Yuksel
author_facet Akici, Murat
Cilekar, Murat
Yilmaz, Sezgin
Arikan, Yuksel
author_sort Akici, Murat
collection PubMed
description OBJECTIVE: This study presents the effects of intraoperative nerve monitoring on RLN injuries in patients who underwent primary surgery for benign thyroid pathology. METHODS: We retrospectively evaluated the data of 273 patients who had primary thyroidectomy due to benign thyroid pathology between January 2012 and July 2017. The patients were classified into two groups. Group-1 consists of patients whose nerves were monitored. We separated the patients whose nerves were not monitored into Group-2. RESULTS: There were 140 and 133 patients in Groups 1 and 2, respectively. Regarding the age, gender and surgical indication between the groups, statistically significant difference was not found (P > 0.05). In Group-1, transient paralysis developed in four patients (2.9%). The permanent paralysis developed in one patient (0.7%). In Group-2, transient paralysis developed in nine patients (6.8%). The permanent paralysis developed in four patients (3%). When the groups were evaluated, there was statistically significant difference in terms of transient and permanent paralysis (P=0.01, P =0.001, respectively). CONCLUSIONS: In view of the negative effects of RLN injury on the patient, we think that intraoperative nerve monitoring should be used routinely in benign thyroid surgeries.
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spelling pubmed-69948792020-02-14 Should intraoperative nerve monitoring be used routinely in primary thyroid surgeries? Akici, Murat Cilekar, Murat Yilmaz, Sezgin Arikan, Yuksel Pak J Med Sci Original Article OBJECTIVE: This study presents the effects of intraoperative nerve monitoring on RLN injuries in patients who underwent primary surgery for benign thyroid pathology. METHODS: We retrospectively evaluated the data of 273 patients who had primary thyroidectomy due to benign thyroid pathology between January 2012 and July 2017. The patients were classified into two groups. Group-1 consists of patients whose nerves were monitored. We separated the patients whose nerves were not monitored into Group-2. RESULTS: There were 140 and 133 patients in Groups 1 and 2, respectively. Regarding the age, gender and surgical indication between the groups, statistically significant difference was not found (P > 0.05). In Group-1, transient paralysis developed in four patients (2.9%). The permanent paralysis developed in one patient (0.7%). In Group-2, transient paralysis developed in nine patients (6.8%). The permanent paralysis developed in four patients (3%). When the groups were evaluated, there was statistically significant difference in terms of transient and permanent paralysis (P=0.01, P =0.001, respectively). CONCLUSIONS: In view of the negative effects of RLN injury on the patient, we think that intraoperative nerve monitoring should be used routinely in benign thyroid surgeries. Professional Medical Publications 2020 /pmc/articles/PMC6994879/ /pubmed/32063974 http://dx.doi.org/10.12669/pjms.36.2.1054 Text en Copyright: © Pakistan Journal of Medical Sciences http://creativecommons.org/licenses/by/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Akici, Murat
Cilekar, Murat
Yilmaz, Sezgin
Arikan, Yuksel
Should intraoperative nerve monitoring be used routinely in primary thyroid surgeries?
title Should intraoperative nerve monitoring be used routinely in primary thyroid surgeries?
title_full Should intraoperative nerve monitoring be used routinely in primary thyroid surgeries?
title_fullStr Should intraoperative nerve monitoring be used routinely in primary thyroid surgeries?
title_full_unstemmed Should intraoperative nerve monitoring be used routinely in primary thyroid surgeries?
title_short Should intraoperative nerve monitoring be used routinely in primary thyroid surgeries?
title_sort should intraoperative nerve monitoring be used routinely in primary thyroid surgeries?
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6994879/
https://www.ncbi.nlm.nih.gov/pubmed/32063974
http://dx.doi.org/10.12669/pjms.36.2.1054
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