Increased Detection of Non-recurrent Inferior Laryngeal Nerve (NRLN) During Thyroid Surgery Using Systematic Intraoperative Neuromonitoring (IONM)

2012 ◽  
Vol 37 (1) ◽  
pp. 91-93 ◽  
Author(s):  
G. Donatini ◽  
B. Carnaille ◽  
G. Dionigi
2019 ◽  
Vol 65 (3) ◽  
pp. 342-348
Author(s):  
Viktor Makarin ◽  
Anna Uspenskaya ◽  
Arseniy Semenov ◽  
Natalya Timofeeva ◽  
Roman Chernikov ◽  
...  

Laryngeal muscles paresis ranks second in prevalence of postoperative complications after thyroid surgery. Intraoperative neuromonitoring (IONM) of recurrent laryngeal nerve (RLN) results in reduction of cases with dysphonia and prevents such severe complication as bilateral paresis. Currently there are two types of monitoring: intermittent and continual. When using intermittent IONM surgeon has no opportunity to control electrophysiology state of RLN during intervals between stimulations. In case of continual IONM date on amplitude and latency are available to surgeon in real time every second, allowing him instantly react to any disturbance of neural transmission to prevent its damage by changing surgical manipulation. This work presents the first experience of using continual neuromonitoring of RLN in Russia, the procedure is described in details its safety. It is represented the possibility of prevention of bilateral laryngeal muscles paresis.


2020 ◽  
Vol 1 (1) ◽  
Author(s):  
Enrico Maria Amadei ◽  
Christopher Fabbri ◽  
Marco Trebbi

We report the case of a patient submitted to a right hemithyroidectomy for a follicular adenoma, when we found a nonrecurrent laryngeal nerve. This is a really rare anatomical presentation that can seriously compromise the integrity and preservation of the inferior laryngeal nerve during thyroid surgery. We describe how we found and managed this anatomical variant and we conduct a review of the most recent Literature about nonrecurrent laryngeal nerve.


2013 ◽  
Vol 23 (2) ◽  
pp. 275-279 ◽  
Author(s):  
Norihiko Narita ◽  
Yuji Kato ◽  
Taiyo Morikawa ◽  
Yoshimasa Imoto ◽  
Masayuki Okamoto ◽  
...  

Author(s):  
Ediel O. Dávila-Ruiz ◽  
Roberto A. García-Manzano ◽  
Nallely Y. Martínez-Santiago ◽  
Daniel A. Bracamontes-Rosas

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