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Early detection of recurrent laryngeal nerve damage using intraoperative nerve monitoring during thyroidectomy
OBJECTIVE: This study aimed to investigate risk factors for early recurrent laryngeal nerve (RLN) damage during thyroid surgery with intraoperative nerve monitoring (IONM) technology to avoid RLN damage during surgery. METHODS: Data were retrospectively collected from 93 patients who underwent thyro...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7286183/ https://www.ncbi.nlm.nih.gov/pubmed/31840556 http://dx.doi.org/10.1177/0300060519889452 |
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author | Yu, Tian Wang, Fei-liang Meng, Ling-bing Li, Jian-kun Miao, Gang |
author_facet | Yu, Tian Wang, Fei-liang Meng, Ling-bing Li, Jian-kun Miao, Gang |
author_sort | Yu, Tian |
collection | PubMed |
description | OBJECTIVE: This study aimed to investigate risk factors for early recurrent laryngeal nerve (RLN) damage during thyroid surgery with intraoperative nerve monitoring (IONM) technology to avoid RLN damage during surgery. METHODS: Data were retrospectively collected from 93 patients who underwent thyroidectomy at Beijing Hospital. All operations were performed by the same surgeon. A four-step procedure of IONM was used during the operation to determine the amplitude and latency of the RLN. RESULTS: The majority (51.6%) of patients who underwent surgery had thyroid carcinoma. Lymphadenectomy was carried out in 55 (59.1%) patients. A strong association was observed between temporary injury of the RLN and the extent of resection. The risk of temporary injury of the RLN during total thyroidectomy was three times that during right thyroid lobectomy (odds ratio = 3.13). The results of left lobectomy were also different from those of right lobectomy because the RLN was more likely to be damaged during left lobectomy. CONCLUSIONS: Assessment of the amplitude and latency of the RLN can help to assess the integrity of the RLN. The extent of resection affects the functional integrity of the RLN. |
format | Online Article Text |
id | pubmed-7286183 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-72861832020-06-19 Early detection of recurrent laryngeal nerve damage using intraoperative nerve monitoring during thyroidectomy Yu, Tian Wang, Fei-liang Meng, Ling-bing Li, Jian-kun Miao, Gang J Int Med Res Special Issue: Surgical Innovation: New Surgical Devices, Techniques and Progress in Surgical Training OBJECTIVE: This study aimed to investigate risk factors for early recurrent laryngeal nerve (RLN) damage during thyroid surgery with intraoperative nerve monitoring (IONM) technology to avoid RLN damage during surgery. METHODS: Data were retrospectively collected from 93 patients who underwent thyroidectomy at Beijing Hospital. All operations were performed by the same surgeon. A four-step procedure of IONM was used during the operation to determine the amplitude and latency of the RLN. RESULTS: The majority (51.6%) of patients who underwent surgery had thyroid carcinoma. Lymphadenectomy was carried out in 55 (59.1%) patients. A strong association was observed between temporary injury of the RLN and the extent of resection. The risk of temporary injury of the RLN during total thyroidectomy was three times that during right thyroid lobectomy (odds ratio = 3.13). The results of left lobectomy were also different from those of right lobectomy because the RLN was more likely to be damaged during left lobectomy. CONCLUSIONS: Assessment of the amplitude and latency of the RLN can help to assess the integrity of the RLN. The extent of resection affects the functional integrity of the RLN. SAGE Publications 2019-12-16 /pmc/articles/PMC7286183/ /pubmed/31840556 http://dx.doi.org/10.1177/0300060519889452 Text en © The Author(s) 2019 https://creativecommons.org/licenses/by-nc/4.0/ Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Special Issue: Surgical Innovation: New Surgical Devices, Techniques and Progress in Surgical Training Yu, Tian Wang, Fei-liang Meng, Ling-bing Li, Jian-kun Miao, Gang Early detection of recurrent laryngeal nerve damage using intraoperative nerve monitoring during thyroidectomy |
title | Early detection of recurrent laryngeal nerve damage using
intraoperative nerve monitoring during thyroidectomy |
title_full | Early detection of recurrent laryngeal nerve damage using
intraoperative nerve monitoring during thyroidectomy |
title_fullStr | Early detection of recurrent laryngeal nerve damage using
intraoperative nerve monitoring during thyroidectomy |
title_full_unstemmed | Early detection of recurrent laryngeal nerve damage using
intraoperative nerve monitoring during thyroidectomy |
title_short | Early detection of recurrent laryngeal nerve damage using
intraoperative nerve monitoring during thyroidectomy |
title_sort | early detection of recurrent laryngeal nerve damage using
intraoperative nerve monitoring during thyroidectomy |
topic | Special Issue: Surgical Innovation: New Surgical Devices, Techniques and Progress in Surgical Training |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7286183/ https://www.ncbi.nlm.nih.gov/pubmed/31840556 http://dx.doi.org/10.1177/0300060519889452 |
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