Intraoperative Neuromonitorization In Thyroid Surgery – A Qualitative Leap?

Um salto qualitativo?

Authors

  • Mariana Mourão Serviço de Cirurgia Geral do Centro Hospitalar Universitário de Lisboa Central, Portugal
  • Sofia Guerreiro Serviço de Cirurgia Geral do Centro Hospitalar Universitário de Lisboa Central, Portugal
  • Ana Crespo Serviço de Cirurgia Geral do Centro Hospitalar Universitário de Lisboa Central, Portugal
  • Sule Canberk Serviço de Cirurgia Geral do Centro Hospitalar Universitário de Lisboa Central, Portugal
  • Paula Tavares Serviço de Cirurgia Geral do Centro Hospitalar Universitário de Lisboa Central, Portugal
  • José Coutinho Serviço de Cirurgia Geral do Centro Hospitalar Universitário de Lisboa Central, Portugal
  • Hugo Pinto Marques Serviço de Cirurgia Geral do Centro Hospitalar Universitário de Lisboa Central, Portugal http://orcid.org/0000-0003-3540-0488

DOI:

https://doi.org/10.34635/rpc.996

Keywords:

nerve monitoring, thyroid surgery, recurrent nerve injury, vocal cord paresis

Abstract

 Introduction: Identifying and preserving the recurrent laryngeal nerve is essential in thyroid surgery. Nerve Intraoperative Monitoring aids with this task and helps predict post-operative prognosis.


Case Description: A 64-year-old male undergoes a Total Thyroidectomy with central and left lymphadenectomy for papillary thyroid cancer with intra-operative neuro-monitoring.
Discussion: One of the most dreaded post-operative complications is bilateral recurrent nerve lesion. This can be prevented by using nerve intraoperative monitoring that allows mapping and detecting nerve lesion in real-time which, in turn, helps make surgical decisions such has completing the thyroidectomy.
Conclusion: Although it doesn’t replace the surgeon’s expertise, nerve intra-operative monitoring contributes to safer surgical procedure.

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References

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Published

2024-08-15

Issue

No. 57 (2024): Supplement of articles in Portuguese

Section

Clinical Case

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