Does intraoperative neuromonitoring of recurrent nerves have an impact on the postoperative palsy rate? Results of a prospective multicenter study

Mirallié, Éric; Caillard, C.; Pattou, François; Brunaud, Laurent; Hamy, A.; Dahan, M.; Prades, Michel; Mathonnet, Muriel; Landecy, G.; Dernis, Henri-Pierre; Lifante, Jean-Christophe; Sébag, F.; Jégoux, Franck; Babin, E.; Bizon, A.; Espitalier, F.; Durand‐Zaleski, Isabelle; Volteau, Christelle; Blanchard, Claire

doi:10.1016/j.surg.2017.03.029

Cited by 31 publications

(39 citation statements)

References 22 publications

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“…Indeed, IONM was less used in patients with the higher BMI. However, it has been previously reported that the utilization of IONM does not significantly prevent RLN palsy …”

Section: Discussionmentioning

confidence: 93%

Impact of body mass index on post‐thyroidectomy morbidity

et al. 2019

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Background The impact of obesity on total thyroidectomy (TT) morbidity (recurrent laryngeal nerve palsy and hypocalcaemia) remains largely unknown. Methods In a prospective study (NCT01551914), patients were divided into five groups according to their body mass index (BMI): underweight, normal weight, overweight, obese, and severely obese. Preoperative and postoperative serum calcium was measured. Recurrent laryngeal nerve (RLN) function was evaluated before discharge, and if abnormal, at 6 months. Results In total 1310 patients were included. Baseline characteristics were similar across BMI groups except for age and sex. Postoperative hypocalcaemia was more frequent in underweight compared to obese patients but the difference was not statistically significant in multivariate analysis. There was no difference between groups in terms of definitive hypocalcaemia, transient and definitive RLN palsy, and postoperative pain. Conclusion Obesity does not increase intraoperative and postoperative morbidity of TT, despite a longer duration of the procedure.

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“…Indeed, IONM was less used in patients with the higher BMI. However, it has been previously reported that the utilization of IONM does not significantly prevent RLN palsy …”

Section: Discussionmentioning

confidence: 93%

Impact of body mass index on post‐thyroidectomy morbidity

et al. 2019

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“…• to make sure the neuromuscular apparatus of the larynx is functioning before and after surgery [31]; • to reduce the risk of bilateral recurrent nerve palsy that can require intensive care and interruption of surgery if the signal is lost during the dissection of the first side [32].…”

Section: Technical Aspects Of Neck Surgerymentioning

confidence: 99%

Endocrine surgery during and after the COVID-19 epidemic: Expert guidelines from AFCE

Baud

Brunaud²,

Lifante³

et al. 2020

Journal of Visceral Surgery

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Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre-including this research content-immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

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“…En l'absence de dysphonie, la réalisation d'une laryngoscopie avant ou après l'intervention n'est pas recommandée [29] en raison du risque élevé de transmission aérienne du SARS-CoV2 lors de cet examen [30]. L'utilisation du neuromonitoring du nerf laryngé inférieur est recommandée, afin, d'une part, d'affirmer la fonctionnalité de l'appareil neuromusculaire laryngé en début et en fin d'intervention [31] et, d'autre part, de réduire le risque de paralysie récurrentielle bilatérale pouvant amener à un éventuel séjour en réanimation en interrompant l'opération en cas de perte de signal lors de la dissection du premier côté [32]. Le dosage peropératoire de PTH est possible mais ne doit pas allonger la durée du bloc opératoire.…”

Section: Aspects Techniques De La Chirurgie Cervicaleunclassified