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The role of intraoperative neural monitoring versus identification alone on post-thyroidectomy true vocal cord palsy
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Original Article
VOLUME: 53 ISSUE: 1
P: 80-86
2020

The role of intraoperative neural monitoring versus identification alone on post-thyroidectomy true vocal cord palsy

Acta Haematol Oncol Turc 2020;53(1):80-86
DOI: 10.5505/aot.2020.86094
Cagri Tiryaki 1
Murat Burc Yazicioglu 1
1. Sbu, Derince Education And Research Hospital, Department Of General Surgery
2.
No information available.
No information available
Received Date: 2019-07-25T15:24:05
Accepted Date: 2020-04-28T11:17:04
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Abstract

INTRODUCTION

The most critical and undesirable complication of thyroid surgery is recurrent laryngeal nerve palsy which can be significantly deteriorate the quality of life. Although intraoperative neu-romonitoring (IONM) has been introduced as a new technique to prevent recurrent laryngeal nerve damage, the benefits of IONM are still controversial. The aim of this study was to dis-cuss the postoperative complication rates of thyroid surgery with and without intraoperative neural monitoring in the context of the literature.

METHODS

The patients were divided into two groups; IONM used group (Group 1, n: 72) and conven-tional direct visual technique without IONM group (Group 2, n: 276). Age, sex, preoperative diagnosis, ultrasonographic findings, type of surgery, duration of surgery, postoperative calci-um, parathormone levels, and early postoperative complications were recorded.

RESULTS

There was no significant difference between two groups regarding age, gender, operation type, total hospitalization period, postoperative calcium, parathormone levels, and preopera-tive diagnoses. Postoperative bleeding and hoarseness were determined in 6 (2.2%) patients and 3 (1.1%) patients in group 2 respectively. However postoperative bleeding and hoarseness were determined in 1 patient in group 1. Hypocalcemia was determined in 9 (12.5%) patients in group 1 and in 48 (17.4%) patients in group 2 (p= 0.24).

DISCUSSION AND CONCLUSION

We did not determine a significant effect of IONM on postoperative complication rates.