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Vocal fold immobility after thyroidectomy with intraoperative recurrent laryngeal nerve monitoring.
Netto, Irene de Pedro; Vartanian, Jose Guilherme; Vartarian, Jose Guilherme; Ferraz, Pablo Rodrigo Rocha; Salgado, Priscila; Azevedo, Juliana Bueno Meirelles de; Toledo, Ronaldo Nunes; Testa, José Ricardo Gurgel; Carrara-de-Angelis, Elisabete; Kowalski, Luiz Paulo.
Afiliação
  • Netto Ide P; Head and Neck Surgery and Otorhinolaryngology Department, Hospital do Câncer A. C. Camargo, São Paulo, Brazil.
Sao Paulo Med J ; 125(3): 186-90, 2007 May 03.
Article em En | MEDLINE | ID: mdl-17923945
CONTEXT AND OBJECTIVE: Intraoperative nerve monitoring has emerged as a valuable tool to facilitate recurrent laryngeal nerve identification during thyroid surgery, thereby avoiding its injury. The aim was to evaluate vocal fold mobility in patients who underwent thyroidectomy with intraoperative nerve monitoring. DESIGN AND SETTING: Cohort formed by a consecutive series of patients, at a tertiary cancer hospital. METHODS: The subjects were patients who underwent thyroidectomy using intraoperative laryngeal nerve monitoring, between November 2003 and January 2006. Descriptive analysis of the results and comparison with a similar group of patients who did not undergo nerve monitoring were performed. RESULTS: A total of 104 patients were studied. Total thyroidectomy was performed on 65 patients. Vocal fold immobility (total or partial) was detected in 12 patients (6.8% of the nerves at risk) at the first postoperative evaluation. Only six (3.4% of the nerves at risk) continued to present vocal fold immobility three months after surgery. Our previous series with 100 similar patients without intraoperative nerve monitoring revealed that 12 patients (7.5%) presented vocal fold immobility at the early examination, and just 5 (3.1%) maintained this immobility three months after surgery, without significant difference between the two series. CONCLUSION: In this series, the use of intraoperative nerve monitoring did not decrease the rate of vocal fold immobility.
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Tireoidectomia / Paralisia das Pregas Vocais / Monitorização Intraoperatória / Traumatismos do Nervo Laríngeo Recorrente Tipo de estudo: Etiology_studies / Prognostic_studies Limite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Sao Paulo Med J Assunto da revista: MEDICINA Ano de publicação: 2007 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil
Buscar no Google
Adicionar na Minha BVS
Imprimir
XML
PubMed Links

Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Tireoidectomia / Paralisia das Pregas Vocais / Monitorização Intraoperatória / Traumatismos do Nervo Laríngeo Recorrente Tipo de estudo: Etiology_studies / Prognostic_studies Limite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Sao Paulo Med J Assunto da revista: MEDICINA Ano de publicação: 2007 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil