Risk of recurrent laryngeal nerve palsy in patients undergoing thyroidectomy with and without intraoperative nerve monitoring.

摘要: Background: Vocal cord palsy occurs in 3-5 per cent of patients after thyroidectomy. To reduce this complication, intraoperative nerve monitoring (IONM) has been introduced, although its use remains controversial. This study investigated the risk postoperative vocal with and without intermittent IONM. Methods: Patients registered Scandinavian Quality Register for Thyroid, Parathyroid Adrenal Surgery, 2009-2013, were included. Early recurrent laryngeal was diagnosed within 6weeks surgery. Permanent defined as that persisting 6months. Univariable multivariable logistic regression analyses used to examine factors palsy. Results: The cohort consisted 5252 undergoing IONM 3277 operations (62·4 cent); routine laryngoscopy performed 1757 (33·5 cent). occurred 217 (4·1 cent), which three bilateral, all group 62 (1·2 In analysis who had laryngoscopy, not associated a decreased early (odds ratio (OR) 0·67, 95 c.i. 0·44 1·01), but permanent (OR 0·43, 0·19 0·93). Conclusion: reduced No bilateral injury following (Less)