Real-Time Monitoring of Recurrent Laryngeal Nerve During Thyroid Reoperation
- VernacularTitle:喉返神经探测仪实时监测在再次甲状腺手术中的应用
- Author:
Tao WEI
;
Zhihui LI
;
Jingqiang ZHU
- Publication Type:Journal Article
- Keywords:
Thyroid;
Reoperation;
Recurrent laryngeal nerve;
Complication
- From:
Chinese Journal of Bases and Clinics in General Surgery
2008;0(08):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the value and usage of real-time monitoring of the recurrent laryngeal nerve (RLN) during thyroid reoperation by RLN monitor. Methods One hundred and one patients were under general anesthesia and thyroidectomy. NIM-Response electromyographic (EMG) monitor system was used for assistant of dissection,exposure and protection of the RLN during the surgical procedures. Results There were 192 RLN were exposed during the surgeries in all 101 patients. The unilateral RLN injured in 10 patients was not specially explored the same side nerve. Among them 190 nerves were confirmed intact,the rest 2 nerves were resected because of tumor involving. Conclusion s NIM-Response electromyographic monitor system is sensitive and accurate for preserving the integrity of RLN during the thyroid reoperations. It is valuable for protecting RLN against iatrogenic injury. This system deserves general utilization for thyroid surgery,especially reoperation.
