Laryngeal nerve monitoring during thyroid surgery in pregnancy

Shankar, K.B.; Posner, M.; Moore, Francis D.; OʼRourke, Nollag

doi:10.1016/j.jclinane.2004.07.010

Cited by 3 publications

(2 citation statements)

References 15 publications

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“…Two of the most severe complications include hypocalcemia and inadvertent damage to the recurrent laryngeal nerve (RLN) (Hermann et al, 2004;Ready and Barnes, 1994). Iatrogenic RLN permanent palsy has been reported by a variety of sources to occur in 1% to 4% of all thyroidectomies (Aytac and Karamercan, 2005;Chaudhary et al, 2007;Eilse, 1993;Hermann et al, 2002;Shankar et al, 2005). The rate of either temporary or permanent palsy can increase to 20% in complex surgical cases such as thyroid cancer or recurrent surgery (Aytac and Karamercan, 2005;Chaudhary et al, 2007;Hemmerling et al, 2001).…”

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confidence: 99%

Surface Electrode Recurrent Laryngeal Nerve Monitoring During Thyroid Surgery: Normative Values

Choby

Hollenbeak²,

Johnson

et al. 2010

Journal of Clinical Neurophysiology

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The objective of this study was to determine the normative values for threshold stimulation of the recurrent laryngeal nerve (RLN) using intraoperative neuromonitoring before and after thyroidectomy. Eighty patients with 111 at-risk nerves underwent thyroid surgery by a single surgical team at an academic medical center in central Pennsylvania during this retrospective study. RLN threshold measurements were taken before and after resection to determine the minimum current needed to stimulate the RLN. Risk of paresis was modeled using logistic regression, and risk was quantified using adjusted odds ratios. The results showed the average minimum current required for stimulation of the RLN before resection was 0.50 mA. The average RLN minimum threshold level after resection was 0.47 mA. The average difference in pre- and postresection RLN threshold current was -0.03 mA. The preresection RLN threshold level (P = 0.31), the postresection RLN threshold level (P = 0.82), and the difference in the pre- and postresection RLN threshold level (P = 0.16) all did not have a statistically significant effect on paresis. No other covariates had a significant association with paresis.

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confidence: 99%

Surface Electrode Recurrent Laryngeal Nerve Monitoring During Thyroid Surgery: Normative Values

Choby

Hollenbeak²,

Johnson

et al. 2010

Journal of Clinical Neurophysiology

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“…1,2 Iatrogenic permanent RLN palsy has been reported to occur in 1% to 4% of all thyroidectomies. [3][4][5][6][7] The rate of either temporary or permanent palsy can increase to 20% in complex surgical cases such as thyroid cancer or recurrent goiter. [6][7][8] Thus, the advent of intraoperative neuromonitoring (IONM) as a technique to assess the status and well-being of the RLN during thyroid surgery was a major advance in thyroid surgery and has conse-quently been used for the past 30 to 40 years.…”

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confidence: 99%

Use of Double Electrode Pads for Intraoperative Monitoring of the Recurrent Laryngeal Nerve

Choby¹,

Trojanowski²,

Johnson³

et al. 2010

Ann Otol Rhinol Laryngol

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We describe a novel technique using double electrode pads for intraoperative neuromonitoring of the recurrent laryngeal nerve. This is a novel setup of intraoperative neuromonitoring that helps protect against faulty readings due to tube migration during surgery and allows for the recording of "side-specific" recurrent laryngeal nerve information. This method has not been previously described in the literature. This original approach to neuromonitoring helps guard against tube migration, simplifies the intubation process, allows for the acquisition of side-specific information, and is less expensive than use of commercially available integrated endotracheal tubes.

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Lésion récurrentielle après thyroïdectomie : faut-il réaliser un monitorage peropératoire ?

Ould-Ahmed

Drouillard²,

Lions

et al. 2006

Annales Françaises d'Anesthésie et de Réanimation

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Laryngeal nerve monitoring during thyroid surgery in pregnancy

Cited by 3 publications

References 15 publications

Surface Electrode Recurrent Laryngeal Nerve Monitoring During Thyroid Surgery: Normative Values

Surface Electrode Recurrent Laryngeal Nerve Monitoring During Thyroid Surgery: Normative Values

Use of Double Electrode Pads for Intraoperative Monitoring of the Recurrent Laryngeal Nerve

Lésion récurrentielle après thyroïdectomie : faut-il réaliser un monitorage peropératoire ?

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