Dynamics of loss and recovery of the nerve monitoring signal during thyroidectomy predict early postoperative vocal fold function

Background The characteristics of segmental type 1 and global type 2 injuries to the recurrent laryngeal nerve (RLN) and the extent and dynamics of nerve recovery are poorly understood. Methods This investigation of 785 patients who underwent thyroidectomy under continuous intraoperative nerve monit...

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Bibliographic Details
Published in:Head & neck 2016-04, Vol.38 (S1), p.E1144-E1151
Main Authors: Schneider, Rick, Sekulla, Carsten, Machens, Andreas, Lorenz, Kerstin, Thanh, Phuong Nguyen, Dralle, Henning
Format: Article
Language:English
Subjects:
early postoperative vocal fold function
global recurrent laryngeal nerve injury
Humans
intraoperative neuromonitoring
Intraoperative Neurophysiological Monitoring
loss of signal
Recurrent Laryngeal Nerve - physiopathology
Recurrent Laryngeal Nerve Injuries - diagnosis
Recurrent Laryngeal Nerve Injuries - prevention & control
Retrospective Studies
segmental recurrent laryngeal nerve injury
Thyroidectomy - adverse effects
Vocal Cord Paralysis - diagnosis
Vocal Cord Paralysis - prevention & control
Vocal Cords - physiopathology
vocal fold palsy
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Summary:Background The characteristics of segmental type 1 and global type 2 injuries to the recurrent laryngeal nerve (RLN) and the extent and dynamics of nerve recovery are poorly understood. Methods This investigation of 785 patients who underwent thyroidectomy under continuous intraoperative nerve monitoring aimed at exploring the dynamics of loss and recovery of the nerve monitoring signal and its relationship to early postoperative vocal fold palsy. Results Persistent complete loss of signal and signal recovery
ISSN:1043-3074
1097-0347
DOI:10.1002/hed.24175