title: [Thyroidectomy using the intra-operative neuromonitoring and the surgeon's confidence].
abstract: OBJECTIVE
  Reporting our experience with NIM-response 2.0 and 3.0 system in a series of 127 thyroidectomies.
  
  
  METHODS
  127 patients were operated at the "Magna Graecia" University (Catanzaro) from 2009 September to 2010 December, using the technique of IntraOperative NeuroMonitoring (IONM). For each patient the surgeon charge filled in a "questionnaire" assessing his/her compliance with the apparatus.
  
  
  RESULTS
  We report 0.8% permanent and 0.4% transient recurrent laryngeal nerve paralysis. All surgeons have been fully satisfied from IONM technique.
  
  
  CONCLUSIONS
  A recurrent laryngeal nerve lesion may occur in patients operated on total thyroidectomy between 5-8% for transient palsies and 1-3% for the permanent ones. The use of IONM seems to contribute to a reduction of transient paralysis, even if this method is still not widely accepted Nevertheless the compliance of the surgeons with IONM seems to develop very highly.
  
  
  CONCLUSIONS
  NIM-response is helpful in protecting recurrent laryngeal nerve function. Advantages were observed in reduction of postoperative dysphonia and in improving the surgeon's confidence in performing a total thyroidectomy.
authors.affiliation: Cattedra di Clinica Chirurgica, U.O. di Chirurgia Generale, Università degli Studi Magna Graecia di Catanzaro.
authors.forename: Rosario
authors.initials: R
authors.lastname: Sacco
authors.forename: Ada Maria
authors.initials: AM
authors.lastname: Lucisano
authors.forename: Nadia
authors.initials: N
authors.lastname: Innaro
authors.forename: Rosario
authors.initials: R
authors.lastname: Cardona
authors.forename: Francesco
authors.initials: F
authors.lastname: Lazzaro
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Tomaino
authors.forename: Rita
authors.initials: R
authors.lastname: Gervasi
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Orsini
mesh_terms: D000328:Adult; D000368:Aged; D002983:Clinical Competence; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control; D008297:Male; D008875:Middle Aged; D016343:Monitoring, Intraoperative / Q000379:methods*; D061226:Recurrent Laryngeal Nerve Injuries / Q000517:prevention & control; D011795:Surveys and Questionnaires; D013965:Thyroidectomy / Q000379:methods*