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
Langenbeck's Archives of Surgery – Springer Journals
Published: May 3, 2016
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