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Evaluating the introduction of intraoperative neuromonitoring of the recurrent laryngeal nerve in thyroid and parathyroid surgery

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Evaluating the introduction of intraoperative neuromonitoring of the recurrent laryngeal nerve in thyroid and parathyroid surgery

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dc.contributor.author Wojtczak, Beata pl
dc.contributor.author Kaliszewski, Krzysztof pl
dc.contributor.author Sutkowski, Krzysztof pl
dc.contributor.author Głód, Mateusz pl
dc.contributor.author Barczyński, Marcin [SAP20001571] pl
dc.date.accessioned 2020-01-17T09:19:20Z
dc.date.available 2020-01-17T09:19:20Z
dc.date.issued 2018 pl
dc.identifier.issn 1734-1922 pl
dc.identifier.uri https://ruj.uj.edu.pl/xmlui/handle/item/142015
dc.language eng pl
dc.rights Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Na tych samych warunkach 4.0 Międzynarodowa *
dc.rights.uri http://creativecommons.org/licenses/by-nc-sa/4.0/pl/legalcode *
dc.title Evaluating the introduction of intraoperative neuromonitoring of the recurrent laryngeal nerve in thyroid and parathyroid surgery pl
dc.type JournalArticle pl
dc.description.physical 321-328 pl
dc.abstract.en Introduction: Paresis of the recurrent laryngeal nerve (RLN) is a complication of thyroid surgery. Neuromonitoring as is gaining acceptance among surgeons. The aim of the study was to assess the number of technical problems in the initial phase of intraoperative neuromonitoring (IONM) use and the specificity, sensitivity, positive predictive value and negative predictive value of neuromonitoring. The number of cases of postoperative paresis (transient and permanent) was assessed. Material and methods: The prospective analysis included 101 thyroid operations with IONM (190 RLNs at risk of injury) in the period from January to April, 2012. Demographic data, rate of RLN identification, sensitivity, specificity and predictive value of the method, the duration of the procedurę and the percentage of RLN paresis were considered. Results: The RLN was identified in 92% of the cases. Technical problems were observed in 12.98%, of which 61% were due to incorrect positioning of the endotracheal tube electrodes in relation to the vocal cords. The sensitivity, specificity, negative and positive predictive value and the accuracy of the method were respectively 71%, 98%, 62.5%, 98.9% and 97%. Early nerve injury occurred in 3.7% of the cases; 2.6% were temporary paresis and 1.1% permanent. Conclusions: During the initial stages of implementing IONM we experienced technical problems that required correction in every tenth patient. The positive predictive value was relatively low; nevertheless, good results in terms of the rate of accurate identification of the RLN as well as the low rate of RLN paresis support the use of this method. pl
dc.subject.en thyroid surgery pl
dc.subject.en recurrent laryngeal nerve pl
dc.subject.en intraoperative neuromonitoring pl
dc.subject.en vocal cord paralysis pl
dc.description.volume 14 pl
dc.description.number 2 pl
dc.description.points 30 pl
dc.identifier.doi 10.5114/aoms.2016.63003 pl
dc.identifier.eissn 1896-9151 pl
dc.title.journal Archives of Medical Science pl
dc.language.container eng pl
dc.affiliation Wydział Lekarski : Klinika Chirurgii Endokrynologicznej pl
dc.subtype Article pl
dc.rights.original CC-BY-NC-SA; otwarte czasopismo; ostateczna wersja wydawcy; w momencie opublikowania; 0 pl
dc.identifier.project ROD UJ / OP pl
dc.cm.id 86551
dc.cm.date 2020-01-07
.pointsMNiSW [2018 A]: 30


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Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Na tych samych warunkach 4.0 Międzynarodowa Except where otherwise noted, this item's license is described as Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Na tych samych warunkach 4.0 Międzynarodowa