Twenty-year experience of paediatric thyroid surgery using intraoperative nerve monitoring

2018 ◽  
Vol 105 (8) ◽  
pp. 996-1005 ◽  
Author(s):  
R. Schneider ◽  
A. Machens ◽  
C. Sekulla ◽  
K. Lorenz ◽  
F. Weber ◽  
...  
Keyword(s):  
Thyroid Surgery ◽  
Nerve Monitoring ◽  
Intraoperative Nerve Monitoring

Current status of intraoperative nerve monitoring of laryngeal nerves in thyroid surgery

2020 ◽  
Vol 31 (3) ◽  
pp. 256-269
Author(s):  
M Durán Poveda ◽  
L Zarain Obrador ◽  
O Garnés Camarena
Keyword(s):  
Thyroid Surgery ◽  
Current Status ◽  
Nerve Monitoring ◽  
Laryngeal Nerves ◽  
Calidad De Vida ◽  
Intraoperative Nerve Monitoring

Resumen La lesión de la rama externa del nervio laríngeo superior (RE-NLS) puede producir una disfunción laríngea postoperatoria con afectación directa sobre la voz. La lesión del nervio laríngeo recurrente (NR) es una complicación temida en la cirugía tiroidea por su importante repercusión en la calidad de vida del paciente. Su lesión se asocia con una importante morbilidad que afecta directamente y en diferente grado a la voz, deglución y respiración del paciente. Al deterioro de la calidad de vida de los pacientes se unen los costes clínicos, socio-económicos y repercusiones médico legales derivadas de esta complicación. La incidencia de lesión del NR oscila entre el 2,3% y el 9,8%. La monitorización nerviosa intraoperatoria (MNI) de los nervios laríngeos se introdujo en la cirugía tiroidea para reducir las lesiones nerviosas. Aunque su uso rutinario no está universalmente extendido entre todos los profesionales y su papel dentro de la cirugía tiroidea es controvertido, cada vez son más los cirujanos que recurren a la MNI de forma sistemática, ya que representa un instrumento que complementa a la identificación visual del nervio durante la intervención. La MNI ayuda a la identificación inicial del nervio y a la posterior disección del mismo. Además, permite predecir la función postoperatoria del NR y del NLS en el campo quirúrgico, así como identificar el mecanismo y la localización de la lesión nerviosa durante la intervención, en caso de producirse.

Low-Dose of Rocuronium During Thyroid Surgery: Effects on Intraoperative Nerve-Monitoring and Intubation

2021 ◽  
Vol 265 ◽  
pp. 131-138
Author(s):  
Eugenio Garofalo ◽  
Andrea Bruni ◽  
Giuseppe Scalzi ◽  
Lucia Stella Curto ◽  
Serena Rovida ◽  
...  
Keyword(s):  
Thyroid Surgery ◽  
Low Dose ◽  
Nerve Monitoring ◽  
Intraoperative Nerve Monitoring

scholarly journals Intraoperative nerve monitoring in thyroid surgery—shifting current paradigms

Gland Surgery ◽  
2020 ◽  
Vol 9 (S2) ◽  
pp. S120-S128 ◽  
Author(s):  
Rick Schneider ◽  
Andreas Machens ◽  
Kerstin Lorenz ◽  
Henning Dralle
Keyword(s):  
Thyroid Surgery ◽  
Nerve Monitoring ◽  
Intraoperative Nerve Monitoring

scholarly journals Intraoperative Monitoring of the Recurrent Laryngeal Nerve during Thyroidectomy: A Standardized Approach (Part 1)

2011 ◽  
Vol 3 (3) ◽  
pp. 144-150 ◽  
Author(s):  
Henning Dralle ◽  
Antonio Sitges-Serra ◽  
Peter Angelos ◽  
Manuel C Durán Poveda ◽  
Gianlorenzo Dionigi ◽  
...  
Keyword(s):  
Recurrent Laryngeal Nerve ◽  
Thyroid Surgery ◽  
Superior Laryngeal Nerve ◽  
Surgical Anatomy ◽  
Laryngeal Nerve ◽  
Nerve Monitoring ◽  
Visual Identification ◽  
Current State ◽  
Monitoring Procedure ◽  
Intraoperative Nerve Monitoring

ABSTRACT One of the most feared complications in thyroid surgery is injury to the superior laryngeal nerve or recurrent laryngeal nerve. Neural identification during surgery is insufficient to assess nerve injury. Intraoperative nerve monitoring of the vagal nerve and recurrent laryngeal nerve during thyroid surgery is a new adjunct designed to allow better identification of nerves at risk and therefore reduce complications related to their injury. This new working tool does not substitute adequate surgical technique but merely provides the surgeon with an adjunct to routine visual identification and functional assessment. The use of nerve monitoring requires standardization of the monitoring procedure. Pursuant to this, we will discuss in two related articles the current state of the art standardized technique of nerve monitoring in thyroid surgery. The aim of part 1 is to provide a concise overview of nerve monitoring in thyroid surgery and its effectiveness. This will include a brief review of the surgical anatomy of the recurrent laryngeal nerve and the key landmarks used to identify the nerve during surgery. Part 2 will describe how to perform the standardized nerve monitoring in a step by step fashion during thyroid surgery which will diminish variable results and misleading information associated with a nonstandardized nerve monitoring procedure.

scholarly journals Analysis of Variations in the Use of Intraoperative Nerve Monitoring in Thyroid Surgery

2016 ◽  
Vol 142 (6) ◽  
pp. 584 ◽  
Author(s):  
Zaid Al-Qurayshi ◽  
Gregory W. Randolph ◽  
Mohammed Alshehri ◽  
Emad Kandil
Keyword(s):  
Thyroid Surgery ◽  
Nerve Monitoring ◽  
Intraoperative Nerve Monitoring
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