Intermittent neural monitoring of the recurrent laryngeal nerve in surgery for recurrent goiter

2016
journal article
review article
14
cris.lastimport.wos2024-04-10T00:34:10Z
dc.abstract.enReoperative thyroid surgery is still challenging even for skilled surgeons, and is associated with a higher incidence of complications, such as hypoparathyroidism and recurrent laryngeal nerve (RLN) palsy. Displacement of the RLN, scar tissue from previous neck surgery and difficulty in maintaining good hemostasis are risk factors in reoperations. The prevalence of RLN injury in reoperative thyroid surgery ranges as high as 12.5% for transient injury and up to 3.8% for permanent injury. Bilateral paresis can also occur during reoperations, and is a dangerous complication influencing the quality of life, sometimes requiring tracheostomy. RLN identification is the gold standard during thyroidectomy, and the use of intraoperative neuromonitoring (IONM) can be a valuable adjunct to visual identification. This technique can be used to identify the RLN and the external branch of the superior laryngeal nerve (EBSLN), both of which are standardized procedures. The aim of this review was to evaluate the use of intermittent neural monitoring of the RLN in surgery for recurrent goiter, and to assess the prevalence of RLN injury while using IONM reported in the current literature.pl
dc.affiliationWydział Lekarski : Klinika Chirurgii Endokrynologicznejpl
dc.cm.date2020-01-07
dc.cm.id79409
dc.contributor.authorWojtczak, Beatapl
dc.contributor.authorBarczyński, Marcin - 128676 pl
dc.date.accessioned2020-01-17T09:10:30Z
dc.date.available2020-01-17T09:10:30Z
dc.date.issued2016pl
dc.date.openaccess0
dc.description.accesstimew momencie opublikowania
dc.description.number5pl
dc.description.physical481-489pl
dc.description.points5pl
dc.description.publication0,55pl
dc.description.versionostateczna wersja wydawcy
dc.description.volume5pl
dc.identifier.doi10.21037/gs.2016.09.07pl
dc.identifier.eissn2227-8575pl
dc.identifier.issn2227-684Xpl
dc.identifier.projectROD UJ / OPpl
dc.identifier.urihttps://ruj.uj.edu.pl/xmlui/handle/item/138859
dc.languageengpl
dc.language.containerengpl
dc.rightsUdzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa*
dc.rights.licenceCC-BY-NC-ND
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/legalcode.pl*
dc.share.typeotwarte czasopismo
dc.subject.enintraoperative neuromonitoring (IONM)pl
dc.subject.enrecurrent goiterpl
dc.subject.enlaryngeal recurrent nervepl
dc.subtypeReviewArticlepl
dc.titleIntermittent neural monitoring of the recurrent laryngeal nerve in surgery for recurrent goiterpl
dc.title.journalGland Surgerypl
dc.typeJournalArticlepl
dspace.entity.typePublication
cris.lastimport.wos
2024-04-10T00:34:10Z
dc.abstract.enpl
Reoperative thyroid surgery is still challenging even for skilled surgeons, and is associated with a higher incidence of complications, such as hypoparathyroidism and recurrent laryngeal nerve (RLN) palsy. Displacement of the RLN, scar tissue from previous neck surgery and difficulty in maintaining good hemostasis are risk factors in reoperations. The prevalence of RLN injury in reoperative thyroid surgery ranges as high as 12.5% for transient injury and up to 3.8% for permanent injury. Bilateral paresis can also occur during reoperations, and is a dangerous complication influencing the quality of life, sometimes requiring tracheostomy. RLN identification is the gold standard during thyroidectomy, and the use of intraoperative neuromonitoring (IONM) can be a valuable adjunct to visual identification. This technique can be used to identify the RLN and the external branch of the superior laryngeal nerve (EBSLN), both of which are standardized procedures. The aim of this review was to evaluate the use of intermittent neural monitoring of the RLN in surgery for recurrent goiter, and to assess the prevalence of RLN injury while using IONM reported in the current literature.
dc.affiliationpl
Wydział Lekarski : Klinika Chirurgii Endokrynologicznej
dc.cm.date
2020-01-07
dc.cm.id
79409
dc.contributor.authorpl
Wojtczak, Beata
dc.contributor.authorpl
Barczyński, Marcin - 128676
dc.date.accessioned
2020-01-17T09:10:30Z
dc.date.available
2020-01-17T09:10:30Z
dc.date.issuedpl
2016
dc.date.openaccess
0
dc.description.accesstime
w momencie opublikowania
dc.description.numberpl
5
dc.description.physicalpl
481-489
dc.description.pointspl
5
dc.description.publicationpl
0,55
dc.description.version
ostateczna wersja wydawcy
dc.description.volumepl
5
dc.identifier.doipl
10.21037/gs.2016.09.07
dc.identifier.eissnpl
2227-8575
dc.identifier.issnpl
2227-684X
dc.identifier.projectpl
ROD UJ / OP
dc.identifier.uri
https://ruj.uj.edu.pl/xmlui/handle/item/138859
dc.languagepl
eng
dc.language.containerpl
eng
dc.rights*
Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa
dc.rights.licence
CC-BY-NC-ND
dc.rights.uri*
http://creativecommons.org/licenses/by-nc-nd/4.0/legalcode.pl
dc.share.type
otwarte czasopismo
dc.subject.enpl
intraoperative neuromonitoring (IONM)
dc.subject.enpl
recurrent goiter
dc.subject.enpl
laryngeal recurrent nerve
dc.subtypepl
ReviewArticle
dc.titlepl
Intermittent neural monitoring of the recurrent laryngeal nerve in surgery for recurrent goiter
dc.title.journalpl
Gland Surgery
dc.typepl
JournalArticle
dspace.entity.type
Publication
Affiliations

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