지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.12
- 수록면
- 103 - 110 (8page)
- DOI
- 10.16956/jes.2021.21.4.103
이용수
초록· 키워드
오류제보하기
Purpose: To determine if intra-operative neural monitoring (IONM) is effective in lowering the rate of recurrent laryngeal nerve (RLN) injury, when selectively applied in thyroidectomy for certain diagnoses which carry a higher risk of nerve injury.
Methods: A retrospective study of 175 patients (262 nerves at risk) undergoing ‘high-risk’ thyroidectomy, namely those for carcinoma, Graves’ disease, re-operations and retrosternal goitres, was performed using data extracted from the public hospitals electronic system. RLN palsy rates of those with IONM used or with visual identification of nerve alone (VA) were compared. RLN palsies were confirmed on flexible laryngoscopy.
Results: In the VA group, the rate of endoscopically confirmed temporary and permanent RLN palsy were 1.3% and 4.5%, respectively. There were no endoscopically confirmed RLN palsy in the IONM group. IONM use was associated with significantly less endoscopically confirmed RLN palsies (0 vs. 9, P=0.012). Permanent RLN palsies diagnosed either clinically and endoscopically were both significantly less in the IONM group (0 vs. 7, P=0.044). There was no significant reduction in the number of RLN palsy with the use of IONM in each high-risk subgroup.
Conclusion: In this study focusing on high-risk thyroidectomy, IONM has been shown to significantly reduce the permanent RLN palsy rate. The selective use of IONM presents a potential approach to demonstrate the beneficial effect of IONM in avoiding RLN injuries.
목차
등록된 정보가 없습니다.
참고문헌 (22)
참고문헌 신청
Lahey F / 1938 / Routine dissection and demonstration of the recurrent laryngeal nerve in subtotal thyroidectomy / Surg Gynecol Obstet 66:775~777
Dralle H / 2008 / Intraoperative monitoring of the recurrent laryngeal nerve in thyroid surgery / World J Surg 32:1358~1366
Bartsch D / 2019 / Current practice of surgery for benign goitre—An analysis of the prospective DGAV StuDoQ|Thyroid Registry / J Clin Med 8:477
Feng AL / 2020 / Increased prevalence of neural monitoring during thyroidectomy : global surgical survey / Laryngoscope 130:1097~1104
Dralle H / 2004 / Risk factors of paralysis and functional outcome after recurrent laryngeal nerve monitoring in thyroid surgery / Surgery 136:1310~1322
Dralle H / 2008 / Intraoperative monitoring of the recurrent laryngeal nerve in thyroid surgery / World J Surg 32:1358~1366
Bartsch D / 2019 / Current practice of surgery for benign goitre—An analysis of the prospective DGAV StuDoQ|Thyroid Registry / J Clin Med 8:477
Feng AL / 2020 / Increased prevalence of neural monitoring during thyroidectomy : global surgical survey / Laryngoscope 130:1097~1104
Dralle H / 2004 / Risk factors of paralysis and functional outcome after recurrent laryngeal nerve monitoring in thyroid surgery / Surgery 136:1310~1322
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