Intraoperative Nerve Monitoring During Thyroid Surgery

摘要: Purpose of review Laryngeal nerve injury, resulting in speech and swallowing dysfunction, is a feared complication thyroid operations. Routine visualization the recurrent laryngeal (RLN) has decreased likelihood intraoperative monitoring been applied hope further enhancing safety. Recent findings There conflicting evidence about value during operations, despite ample research. The data favor certain situations, such as neck re-explorations, contralateral RLN extensive or challenging dissections, invasive tumors large goiters, nonrecurrent branching nerves. Continuous may reduce chances excessive traction, which most common mechanism injury. Nerve also identify protect external branches superior nerve. Summary Surgeons should routinely nerves might be useful adjunct to prevent As result relatively low probability permanent it difficult establish absolute monitoring. Further research focus on continuous