The laryngeal mask airway for thyroid and parathyroid surgery

Summary The role of the laryngeal mask airway for thyroid and parathyroid surgery was studied in 97 consecutive patients. In 50% the technique combined electrical stimulation of the recurrent laryngeal nerve with visualisation of vocal cord movement via a fibreoptic bronchoscope. Stimulation was req...

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Bibliographic Details
Published in:Anaesthesia 1996-10, Vol.51 (10), p.972-974
Main Authors: Hobbiger, H. E., Allen, J. G., Greatorex, R. G., Denny, N. M.
Format: Article
Language:English
Subjects:
airway, laryngeal mask. Surgery
Anesthesia
Anesthesia depending on type of surgery
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Electric Stimulation
Humans
Intubation, Intratracheal
Laryngeal Masks
Laryngeal Nerves - physiology
Medical sciences
Orthopedic surgery. Maxillofacial surgery. Otorhinolaryngologic surgery. Stomatology. Ophtalmology. Investigation and treatment technics
Parathyroid Diseases - surgery
Parathyroidectomy - methods
recurrent laryngeal
Thyroid Diseases - surgery
Thyroidectomy - methods
thyroidectomy, parathyroidectomy. Nerve
Treatment Outcome
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Summary:Summary The role of the laryngeal mask airway for thyroid and parathyroid surgery was studied in 97 consecutive patients. In 50% the technique combined electrical stimulation of the recurrent laryngeal nerve with visualisation of vocal cord movement via a fibreoptic bronchoscope. Stimulation was required in 10% to assist in identifying recurrent laryngeal nerve position during difficult surgical dissection. In the remaining 40% stimulation was used to confirm nerve integrity and for teaching purposes. Tracheal intubation was required for seven patients but in only two of these was intubation unplanned. The incidence of postoperative recurrent laryngeal nerve dysfunction was zero. These data suggest that the technique offers a safe alternative in airway management and may provide advantages in terms of preservation of recurrent laryngeal nerve function.
ISSN:0003-2409
1365-2044
DOI:10.1111/j.1365-2044.1996.tb14969.x