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Intraoperative Neuromonitoring for Thyroid Surgery in Children and Adolescents: A Single Center Experience.
Martucci, Cristina; Madafferi, Silvia; Crocoli, Alessandro; Randi, Franco; Malara, Erika; Ponzo, Viviana; De Pasquale, Maria Debora; Inserra, Alessandro.
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  • Martucci C; General Surgery Unit, Department of Surgery, Bambino Gesù Children's Hospital-IRCCS, 00165 Rome, Italy.
  • Madafferi S; General Surgery Unit, Department of Surgery, Bambino Gesù Children's Hospital-IRCCS, 00165 Rome, Italy.
  • Crocoli A; Surgical Oncology Unit, Department of Surgery, Bambino Gesù Children's Hospital-IRCCS, 00165 Rome, Italy.
  • Randi F; Neurosurgery Unit, Department of Neuroscience and Psychiatry Sciences, Bambino Gesù Children's Hospital-IRCC, 00165 Rome, Italy.
  • Malara E; Neurosurgery Unit, Department of Neuroscience and Psychiatry Sciences, Bambino Gesù Children's Hospital-IRCC, 00165 Rome, Italy.
  • Ponzo V; Neurosurgery Unit, Department of Neuroscience and Psychiatry Sciences, Bambino Gesù Children's Hospital-IRCC, 00165 Rome, Italy.
  • De Pasquale MD; Hematology Oncology Unit, Department of Pediatric Hematology/Oncology Cell and Gene Therapy, Bambino Gesù Children's Hospital-IRCCS, 00165 Rome, Italy.
  • Inserra A; General Surgery Unit, Department of Surgery, Bambino Gesù Children's Hospital-IRCCS, 00165 Rome, Italy.
Children (Basel) ; 9(12)2022 Dec 18.
Article en En | MEDLINE | ID: mdl-36553435
Intraoperative neuromonitoring (IONM) of the recurrent laryngeal nerve (RLN) has been shown in adults to minimize nerve palsy after thyroid surgery, but only few studies on its efficacy in a pediatric population have been reported. We conducted a retrospective study on patients operated for thyroid lesions from 2016 to 2022. The analyzed population was divided in two groups: patients treated from 2016 to 2020, when the identification of the RLN was performed without IONM (Group A); and patients treated since 2021, when IONM was implemented in every surgical procedure on the thyroid (Group B). Intraoperative Neurophysiological Monitoring was performed by using corticobulbar motor-evoked potentials and continuous electromyography. Twentyfive children underwent thyroid resection, 19 (76%) of which due to thyroid carcinoma. Each patient's recurrent nerve was identified; IONM was used in 13 patients. In Group A, one temporary nerve palsy was identified postoperatively (8.3%), while in group B one nerve dysfunction occurred (7.7%). No statistically significant difference was found between the two groups in terms of post-operative RLN palsy. No surgical complication due to the use of IONM was reported. In children and teenagers, intraoperative neuromonitoring of the recurrent laryngeal nerve is a safe and accurate method, minimizing the risk of nerve damage.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Observational_studies / Risk_factors_studies Idioma: En Revista: Children (Basel) Año: 2022 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Observational_studies / Risk_factors_studies Idioma: En Revista: Children (Basel) Año: 2022 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Suiza