Juárez-Ferrer JC, López-Chavira A, Rivera-Martínez CG, Pacheco-Ramírez MA, Mateos-Aguilar OO

Language: Spanish
References: 17
Page: 263-270
PDF size: 390.08 Kb.

ABSTRACT

Background: Surgery of thyroid gland is the most common procedure performed in endocrine surgery and head and neck. Recurrent laryngeal nerve is the most important structure that is put at risk during such surgery. The gold standard for protection is the identification by careful dissection before removing the gland.
Objetive: To compare the usefulness of intraoperative view plus neuromonitorization vs only visual identification of the recurrent laryngeal nerve in thyroid surgery.
Material and Method: A longitudinal, randomized, single-blind, prospective trial, from May to September 2015 was drafted, with a total of 41 patients who underwent partial or total thyroidectomy. The frequency of complications between two groups of patients was compared, one that underwent thyroid surgery by visualization with neuromonitorization of recurrent laryngeal nerve (group A) and another group underwent thyroid surgery using only visual identification of the nerve (group B).
Results: In the group A, two patients resulted with vocal fold palsy and the group B three patients resulted with vocal fold palsy. No statistically significant difference between the two study groups (p=0.5678).
Conclusions: Visual identification of the recurrent laryngeal nerve is the reference standard. Neuromonitorization of recurrent laryngeal nerve is a very useful tool in areas such as intraoperative decisionmaking, teaching and research.

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