Intérêt du monitorage du nerf laryngé inférieur dans la stratégie opératoire au cours des thyroïdectomies et parathyroïdectomies totales

Périé, Sophie; Aït-Mansour, A.; Devos, M.; Sonji, G.; Baujat, B.; Guily, Jean Lacau St

doi:10.1016/j.aforl.2013.01.004

Cited by 1 publication

(2 citation statements)

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“…The prevention of recurrent paralysis is both pre-and intraoperative. Neuromonitoring (NIM) used in thyroid surgery for ten years by some teams, has been developed as an aid to the intraoperative identification of the nerve, and to the elucidation of the mechanisms involved in recurrent paralysis [9] [15]. We do not have NIM in our technical tray, but the objective is the effective acquisition in a short time to further minimize the risk of recurrent injury.…”

Section: Surgical Suitesmentioning

confidence: 99%

See 1 more Smart Citation

Surgery of the Goiter in the ENT Department of Chu Gabriel Toure: Problematic and Perspective

Diarra¹,

Konaté²,

Sidibé³

et al. 2019

IJOHNS

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Aims: To describe the diagnostic aspects, surgical indications and post-operative complications of thyroidectomies performed in our department. Materials and method: A descriptive retrospective study that took place in the ENT Department and Cervicofacial Surgery of Gabriel TOURE University Hospital of Bamako. We did a comprehensive sampling of all goiter cases from January 2013 to December 2018. Were included in the study, the records of patients of all ages and genders, admitted into the ward and scheduled for thyroidectomy (partial or total). The exclusion criteria were incomplete hospitalization records. There were a total of 139 files were retained. Results: In 60 months, 139 cases were collected out of 1720 patients hospitalized for surgery, representing a hospital prevalence of 8.08%. The average age was 46.89 years. (123 women and 16 men). The socio-professional categories were dominated by housewives (68.34%). The reported functional signs were tachycardia, asthenia and other signs of dysthyroidism in 59% as well as signs of compression in 24.46%. In 72 cases or 51.80%, the patients consulted between 2 and 10 years of disease progression. Twenty patients or 14.39% had a history of familial goiter and 2 patients had a history of thyroid surgery. On physical examination the swelling was antero-cervical in 56.83% of cases. In 96 cases or 69.06% the glandular diameter was between 5 and 9 cm. In 2 cases or 1.43% we noted cervical adenopathy in the jugulo-carotid chain. Ultrasound, TSHus and fT4 were performed first-line and systematically in all our patients. Ultrasound objectified an appearance of multinodular goiter in 106 cases or 76.26%. In 60.43% of cases the patients were TI classes RADS 3

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Section: Surgical Suitesmentioning

confidence: 99%

“…In our study, recurrent lesions were 2.8% transient and transient. In the literature the rate of recurrent injury varies between 0.5% and 3.5% [14] [15].…”

Section: Surgical Suitesmentioning

confidence: 99%