Efficacy of continuous neuromonitoring in thyroid surgery: preliminary report of a single-center experience.

Background The continuous intraoperative nerve monitoring (CIONM) technique seems to be acknowledged as a useful tool to prevent impending nerve injury, because it constantly provides valuable real-time information. Aim of the study is to evaluate the impact of the CIONM technique on functional outcome i.e., recurrent laryngeal nerve (RLN) palsy, compared to the traditional surgical procedure. Methods From January to December 2016, 197 patients who underwent thyroid surgery were included in this retrospective study: 94 patients had CIONM procedure and 103 traditional technique, according to the order of the operating room list. Results A total of 8 patients showed a damage to left or right vocal cord: 3 patients after CIONM procedure, and 5 patients after traditional surgical procedure. After matching for propensity score, 188 patients were eventually considered and 7 RLN palsy were identified: 3 in CIONM and 4 in traditional surgical procedure. The analysis performed on the matched propensity score sample showed a non-significant difference between the two procedures. Conclusions In our experience no significant differences in functional outcomes were found between the use of CIONM and the standard technique.

• Publication year

  2019

• Venue

  Gland surgery

• Publication date

  2019-08-19

• Fields of study

  Medicine

• Identifiers
  DOI 10.21037/GS.2019.08.02PMID 31538057PMCID PMC6723006
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar, PubMed

• No claims are published for this paper.

• No concepts are published for this paper.

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