INTRAOPERATIVE CONTINUOUS NEUROMONITORING OF LARYNGEAL RECCURENT NERVES IN PATIENTS WITH THYROID CANCER

2019 ◽  
Vol 65 (3) ◽  
pp. 342-348
Author(s):  
Viktor Makarin ◽  
Anna Uspenskaya ◽  
Arseniy Semenov ◽  
Natalya Timofeeva ◽  
Roman Chernikov ◽  
...  
Keyword(s):  
Thyroid Cancer ◽  
Postoperative Complications ◽  
Recurrent Laryngeal Nerve ◽  
Thyroid Surgery ◽  
Intraoperative Neuromonitoring ◽  
Laryngeal Nerve ◽  
Laryngeal Muscles ◽  
Neural Transmission ◽  
Continuous Neuromonitoring ◽  
Surgical Manipulation

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.

scholarly journals Intraoperative Neuromonitoring for Early Localization and Identification of Recurrent Laryngeal Nerve During Thyroid Surgery

2010 ◽  
Vol 26 (12) ◽  
pp. 633-639 ◽  
Author(s):  
Feng-Yu Chiang ◽  
I-Cheng Lu ◽  
Hui-Chun Chen ◽  
Hsiu-Ya Chen ◽  
Cheng-Jing Tsai ◽  
...  
Keyword(s):  
Recurrent Laryngeal Nerve ◽  
Thyroid Surgery ◽  
Intraoperative Neuromonitoring ◽  
Laryngeal Nerve

scholarly journals Muscle Spasms after Thyroidectomy: What Went Wrong?

2013 ◽  
Vol 5 (1) ◽  
pp. 16-17
Author(s):  
Ryan M Antiel ◽  
David R Farley ◽  
Mark J Heidenreich ◽  
Diana S Dean
Keyword(s):  
Postoperative Complications ◽  
Recurrent Laryngeal Nerve ◽  
Hospital Discharge ◽  
Thyroid Surgery ◽  
Nerve Damage ◽  
Laryngeal Nerve ◽  
Cervical Hematoma ◽  
Symptomatic Hypocalcemia ◽  
Muscle Spasms

ABSTRACT Postoperative complications of thyroid surgery are generally limited, though not entirely rare. Cervical hematoma, recurrent laryngeal nerve damage and hypoparathyroidism are of greatest concern, with the latter being the most frequently encountered. We report a case of a Graves thyroid patient who experienced symptomatic hypocalcemia in a post-thyroidectomy setting. Episodes of paresthesia and tetany delayed the patient's hospital discharge, serving as a reminder of the potential morbidities thyroid surgery can entail. How to cite this article Heidenreich MJ, Antiel RM, Dean DS Farley DR. Muscle Spasms after Thyroidectomy: What Went Wrong? World J Endoc Surg 2013;5(1):16-17.

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