2018
DOI: 10.1007/s12020-018-1739-5
|View full text |Cite
|
Sign up to set email alerts
|

Intraoperative intermittent neuromonitoring of inferior laryngeal nerve and staged thyroidectomy: our experience

Abstract: High sensitivity and specificity values confirm the validity of I-IONM with NSLP in predicting postoperative normal vocal cord function. Our results confirm that I-IONM may safely guide an ST overall in benign thyroid diseases and in low-grade malignancies.

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
2
1
1

Citation Types

2
29
0
1

Year Published

2018
2018
2023
2023

Publication Types

Select...
7
1

Relationship

0
8

Authors

Journals

citations
Cited by 28 publications
(32 citation statements)
references
References 38 publications
2
29
0
1
Order By: Relevance
“…The main benefit of I‐IONM is that the surgeon can confirm an impairment of RLN function intraoperatively which enables changes of surgical strategy and avoids the risk of bilateral RLN injury in planned bilateral procedures. I‐IONM may also help prevent nerve injury and VFP by virtue of its nerve localization abilities—an especially important consideration for junior and low volume surgeons—although many studies comparing I‐IONM to no monitoring have not demonstrated a strident improvement in VFP rates with I‐IONM 8,33,35,38,65–67 . This finding likely reflects the fact that most of these studies were performed at high‐volume centers where rates of VFP were already low by virtue of the surgeon's experience.…”
Section: Resultsmentioning
confidence: 99%
“…The main benefit of I‐IONM is that the surgeon can confirm an impairment of RLN function intraoperatively which enables changes of surgical strategy and avoids the risk of bilateral RLN injury in planned bilateral procedures. I‐IONM may also help prevent nerve injury and VFP by virtue of its nerve localization abilities—an especially important consideration for junior and low volume surgeons—although many studies comparing I‐IONM to no monitoring have not demonstrated a strident improvement in VFP rates with I‐IONM 8,33,35,38,65–67 . This finding likely reflects the fact that most of these studies were performed at high‐volume centers where rates of VFP were already low by virtue of the surgeon's experience.…”
Section: Resultsmentioning
confidence: 99%
“…The best known technique to avoid injury to RLN is meticulous dissection of the nerve throughout its anatomic pathway. However, functional impairment of RLN is not visible macroscopically and IONM has been developed to monitor the nerve to avoid unnecessary dissection (9,10). Meticulous hemostasis can be achieved with harmonic sealing instrument, since improper hemostasis is known to increase the risk of RLNI (4).…”
Section: Discussionmentioning
confidence: 99%
“…Nerve identification alone is insufficient because visual integrity does not guarantee normal RLN functional status [7, 8]. One of the most significant attributes of neural testing is prognostication of postoperative neural function and its impact on surgical strategy in bilateral thyroid disease [9, 21, 29, 30]. Accurate identification of unilateral RLN injury might allow second lobe surgery and bilateral nerve injury to be avoided.…”
Section: Discussionmentioning
confidence: 99%