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What is the impact of continuous neuromonitoring on the incidence of injury to the recurrent laryngeal nerve during total thyroidectomy?

Surgery May 15, 2020

Bihain F, Nomine-Criqui C, Demarquet L, et al. - In this prospective case series with retrospective analysis of consecutive patients undergoing total thyroidectomy from August 2013 to August 2019, researchers sought to assess the effect of the routine use of continuous intraoperative neuromonitoring on intraoperative injuries to the recurrent laryngeal nerve. Intermittent intraoperative neuromonitoring (before Mar 2016) and continuous intraoperative neuromonitoring (after Mar 2016) were used in all patients during this period. The outcomes of 603 patients (236 had intermittent intraoperative neuromonitoring and 367 had continuous intraoperative neuromonitoring) have been reviewed. According to findings, the regular use of continuous intraoperative neuromonitoring improves the rate of adverse electromyography events intraoperatively, but does not significantly affect the rates of signal loss and recurrent laryngeal nerve palsy.

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