Intraoperative Neuromonitoring in Thyroid Surgery

摘要: BACKGROUND: Employment of intraoperative neuromonitoring (IONM) the recurrent laryngeal nerve (RLN) is not unusual nowadays. But up to now, no prospective beneficial studies have been available that evaluate whether additional use IONM and safe in comparison with conventional thyroid surgery. METHODS: Between 1 August 1999 31 January 2001, surgery for benign malignant goitre was performed on 8900 patients 16148 nerves at risk. Twenty-eight German hospitals participated. Data were collected prospectively by a questionnaire. depended performing surgeon randomized or controlled. RESULTS: used 95.9% (range 57.2–100%) all operations. The significantly decreased early RLN palsy rate (3.3% vs. 4.9%; P = 0.04). As permanent rate, there still an advantage gained using (0.7% 0.9%); however, this difference lacked statistical significance. Overall, high-risk procedures such as goitre, carcinoma extended resections. translaryngeal needle electrode has influence general morbidity haematomas wound infections. CONCLUSIONS: technique decreases overall rate. especially recommended