[Benefits of intraoperative n. laryngeus recurrens neuromonitoring in thyroid surgery].
BACKGROUND
N. laryngeus reccurens injury is a serious complication in thyroid surgery. Nerve visualization is a procedure preventing its traumatization. The visualization with additional intraopertive neuromonitoring results in further reduction of the n. laryngeus reccurens injury rates.


OBJECTIVE
Verification of the intraoperative neuromonitoring effects on reduction of the n. laryngeus reccurens injury rates.


METHODS
309 operated patients were included in the intraoperative neuromonitoring prospective study. A total of 295 patients were included in the study and intraoperative monitoring was performed per protocol.


RESULTS
Out of the total of 295 subjects, 1 patient sufferred from permanent paresis, ie. 0.33%, nerves at risk 0.2%. 6 subjects sufferred from transient pareses, i.e. 2.03%, nerves at risk 1.2%, with a prevailing 8-week recovery period of the ORL findings.


CONCLUSIONS
Intraoperative neuromonitoring in thyroid surgery is yet another option for reduction of the n. laryngeus reccurens intraoperative injury rates.
Dudesek
B
B
Chirurgické oddĕlení Nemocnice ATLAS a.s. Zlín. chirurgie@nemocniceatlas.cz
Duben
J
J
Hnátek
L
L
Musil
T
T
Gatĕk
J
J
Hradská
K
K
Kotoc
J
J
D004558:Electric Stimulation; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control*; D016343:Monitoring, Intraoperative; D016105:Parathyroidectomy / Q000009:adverse effects; D012009:Recurrent Laryngeal Nerve / Q000502:physiology*; D061226:Recurrent Laryngeal Nerve Injuries; D013965:Thyroidectomy / Q000009:adverse effects*