Neuromonitoring of the Recurrent Nerve: Validation and Merits

Kinetics of serum parathyroid hormone during and after thyroid surgery

“…Considerable effort has been expended on the prevention of recurrent laryngeal nerve palsy after thyroidectomy1, 20–22, but postoperative hypoparathyroidism and its consequences remain widely underrated. Permanent loss of parathyroid function still occurs after up to 1·7 per cent of total thyroidectomies23–29.…”

Postoperative PTH Measurement as a Predictor of Hypocalcaemia after Thyroidectomy

“…This leads to longer hospitalization and increased final cost of the treatment (1,2,3). Although there has been much effort put into the research in the prevention of recurrent nerve palsy over the last years (4,5,6), postoperative hypoparathyroidism remains a widely underrated complication. That is why it is important to develop strategies to prevent and/or quickly treat this pathology.…”

Electrophysiological Basics of Neuromuscular Stimulation

“…Electrical stimuli applied to the contralateral vagal or recurrent nerve evoke robust responses, although with reduced amplitude (6). Branches of both laryngeal nerves that cross the midline and establish connections with the contralateral laryngeal nerves might be the anatomical basis for this observation (12).…”