Prognostic value of intraoperative neural monitoring of the recurrent laryngeal nerve in thyroid surgery

Prognostic value of intraoperative neural monitoring of the recurrent laryngeal nerve in thyroid... Langenbecks Arch Surg (2017) 402:957–964 DOI 10.1007/s00423-016-1441-0 ORIGINAL ARTICLE Prognostic value of intraoperative neural monitoring of the recurrent laryngeal nerve in thyroid surgery 1 1,2 Małgorzata Stopa & Marcin Barczyński Received: 2 October 2015 /Accepted: 26 April 2016 /Published online: 3 May 2016 The Author(s) 2016. This article is published with open access at Springerlink.com Abstract criterion in prognostication of postoperative vocal fold paresis, Purpose The diagnostic accuracy of intraoperative recurrent namely, V2 amplitude ≤ 189 μV. For this criterion, PPV was laryngeal nerve (RLN) monitoring (IONM) remains contro- 77.4 %, while NPV was 99.9 %. versial. The aim of this study was to evaluate IONM diagnos- Conclusions Adherence to the standardized protocol recom- tic accuracy in prognostication of postoperative nerve function mended by the International Neural Monitoring Study Group in thyroid surgery. allows for optimizing predictive values of IONM in prognos- Methods This prospective study was conducted in 2011– tication of postoperative RLN function. Any changes in the 2013. Five hundred consenting patients qualified for total thy- cutoff values for the definition of LOS only marginally im- roidectomy with IONM (1000 nerves at risk) using NIM 3.0 prove PPV and NPV of IONM and need to be carefully http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Langenbeck's Archives of Surgery Springer Journals

Prognostic value of intraoperative neural monitoring of the recurrent laryngeal nerve in thyroid surgery

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Publisher
Springer Journals
Copyright
Copyright © 2016 by The Author(s)
Subject
Medicine & Public Health; General Surgery; Abdominal Surgery; Cardiac Surgery; Thoracic Surgery; Traumatic Surgery; Vascular Surgery
ISSN
1435-2443
eISSN
1435-2451
D.O.I.
10.1007/s00423-016-1441-0
Publisher site
See Article on Publisher Site

Abstract

Langenbecks Arch Surg (2017) 402:957–964 DOI 10.1007/s00423-016-1441-0 ORIGINAL ARTICLE Prognostic value of intraoperative neural monitoring of the recurrent laryngeal nerve in thyroid surgery 1 1,2 Małgorzata Stopa & Marcin Barczyński Received: 2 October 2015 /Accepted: 26 April 2016 /Published online: 3 May 2016 The Author(s) 2016. This article is published with open access at Springerlink.com Abstract criterion in prognostication of postoperative vocal fold paresis, Purpose The diagnostic accuracy of intraoperative recurrent namely, V2 amplitude ≤ 189 μV. For this criterion, PPV was laryngeal nerve (RLN) monitoring (IONM) remains contro- 77.4 %, while NPV was 99.9 %. versial. The aim of this study was to evaluate IONM diagnos- Conclusions Adherence to the standardized protocol recom- tic accuracy in prognostication of postoperative nerve function mended by the International Neural Monitoring Study Group in thyroid surgery. allows for optimizing predictive values of IONM in prognos- Methods This prospective study was conducted in 2011– tication of postoperative RLN function. Any changes in the 2013. Five hundred consenting patients qualified for total thy- cutoff values for the definition of LOS only marginally im- roidectomy with IONM (1000 nerves at risk) using NIM 3.0 prove PPV and NPV of IONM and need to be carefully

Journal

Langenbeck's Archives of SurgerySpringer Journals

Published: May 3, 2016

References

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