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Thyroid surgery and recurrent laryngeal nerve monitoring

Published online by Cambridge University Press:  24 March 2006

S Bailleux ,
A Bozec ,
L Castillo  and
J Santini
S Bailleux
Affiliation:
Department of ENT and Maxillofacial Surgery, Pasteur Hospital, Nice, France
A Bozec
Affiliation:
Department of ENT and Maxillofacial Surgery, Pasteur Hospital, Nice, France
L Castillo
Affiliation:
Department of ENT and Maxillofacial Surgery, Pasteur Hospital, Nice, France
J Santini
Affiliation:
Department of ENT and Maxillofacial Surgery, Pasteur Hospital, Nice, France
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Abstract

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Recurrent laryngeal nerve paralysis is a much-dreaded complication of thyroid surgery.

Objective: To study the feasibility and the reliability of a recurrent laryngeal nerve monitoring technique.

Materials and methods: This was a prospective study including 36 patients proposed for thyroid surgery with recurrent laryngeal nerve monitoring. They underwent post-operative fibre-optic laryngeal examination and speech therapist consultation.

Results: Our technique of nerve monitoring showed a 98 per cent sensitivity and 86 per cent specificity.

Conclusions: Recurrent laryngeal nerve monitoring is a feasible and reliable technique. It can be used to avoid bilateral nerve injury and to increase the surgeon's confidence but not to replace a systematic nerve identification and a careful dissection.

Keywords

ThyroidectomyRecurrent Laryngeal NerveNeural Conduction
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 120 , Issue 7 , July 2006 , pp. 566 - 569
Copyright
2006 JLO (1984) Limited