Effect of Intraoperative Neuromonitoring on Voice Quality in Total Thyroidectomy
Journal Title: HASEKİ TIP BÜLTENİ - Year 2018, Vol 56, Issue 2
Abstract
Aim: Thyroid gland surgery has a risk of serious complications. Advancements in technology have led to improvements in complications but significant challenges to preserving voice and airway function still remain. The purpose of this study was to evaluate voice quality following total thyroidectomy under neuromonitoring and effect of intraoperative neuromonitoring (IONM) on identification of the recurrent laryngeal nerve (RLN) and external branch of the superior laryngeal nerve (EBSLN). Methods: A total of 80 patients scheduled for total thyroidectomy between May 2015 and March 2016 were included in the study. All the RLNs and EBSLNs were identified. Voice assessment included preoperative and postoperative fiberoptic laryngoscopy, analysis of Jitter, Shimmer, and fundamental frequency and the Voice Handicap index-10. Results: Eighty patients were included in this study (71 females, nine males). There was no significant difference between mean initial and post-dissection electromyographic amplitudes with RLN and EBSLN stimulation. The rate of postoperative transient RLN palsy per nerve at risk was 4.375% (7/160) and null for permanent RLN palsy (0%, 0/160). Conclusion: Both subjective and objective assessments revealed preservation of voice quality in patients after total thyroidectomy under neuromonitoring. IONM may be used effectively and safely in order to identify the EBSLN during thyroid surgery.
Authors and Affiliations
Erdinç Çekiç, Turgut Dönmez, Özgür Sürmelioğlu, Sina Ferahman, Engin Hatipoğlu, Ahmet Kocakuşak
Keywords
Related Articles
- EP ID EP368712
- DOI 10.4274/haseki.28199
- Views 94
- Downloads 0
Idiopathic Nephrotic Syndrome in Childhood: A Retrospective Analysis of Two Hundred and Eighty Nine Patients
Aim: In this study, we aimed to evaluate the demographic and histopathological characteristics and response to medications in children with idiopathic nephrotic syndrome in Turkey. Methods: We reviewed medical records o...
Pancreatic Divisum Associated with Ampullary Neuroendocrine Tumor and the Role of Magnetic Resonance Imaging
Pancreatic divisum is the most common anomaly of the pancreas. Pancreatic divisum associated with malignant tumor is rarely seen. The ampulla of Vater is formed by the union of the common bile duct and the pancreatic duc...
Assessment of Effects of Thyrotoxicosis on Gallstone Formation in Rabbits
Aim: The etiopathogenesis of gallstone formation is well known, but only a few studies have investigated the effects of thyrotoxicosis on gallstone formation. In this study, we investigated the contribution of thyrotoxic...
Reconstruction of Partial Vermilion Defects with Mucosal Transposition Flap
Aim: Lip, located in lower 1/3 of the face, is very important unit from aesthetic and functional aspect. Vermilion is a subunit of the lip and also has aesthetic and sensorial functions. Following the trauma and cancer s...
Medical Results and Psychosocial Factors in Obesity Surgery
Aim: Obesity is one of the most important health problems of our age. It causes serious psycho-social problems as well as medical problems. We aimed to investigate the preoperative and postoperative medical and psycho-so...