RT Journal Article
T1 [Intraoperative neuromonitoring in thyroid surgery].
T2 Neuromonitorización intraoperatoria en cirugía tiroidea.
A1 Motos-Micó, José Jacob
A1 Felices-Montes, Manuel
A1 Abad-Aguilar, Teresa
K1 Cirugía tiroidea
K1 Intraoperative
K1 Intraoperatoria
K1 Neuromonitoring
K1 Neuromonitorización
K1 Thyroid surgery
AB Intraoperative neuromonitoring of the recurrent laryngeal nerve in thyroid surgery facilitates the identification of anatomical structures in cervical endocrine surgery reducing the frequency of vocal cord paralysis. To study the normal electrophysiological values of the vague and recurrent laryngeal nerves before and after thyroid surgery. To compare rates of injury of recurrent nerve before and after the introduction of the intraoperative neuromonitoring in thyroid surgery. An observational, descriptive and prospective study in which a total of 490 patients were included. Between 2003-2010, surgery was performed on 411 patients (703 nerves at risk) with systematic identification of recurrent laryngeal nerves. Between 2010-2011 neuromonitorization was also systematically performed on 79 patients. Before the introduction of intraoperative neuromonitoring of 704 nerves at risk, there were 14 recurrent laryngeal nerve injuries. Since 2010, after the introduction of the intraoperative neuromonitoring in thyroid surgery, there has been no nerve injury in 135 nerves at risk. We consider the systematic identification of the recurrent laryngeal nerve is the 'gold standard' in thyroid surgery and the intraoperative neuromonitoring of nerves can never replace surgery but can complement it.
YR 2016
FD 2016-12-09
LK https://hdl.handle.net/10668/24904
UL https://hdl.handle.net/10668/24904
LA es
DS RISalud
RD Apr 5, 2025