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Intraoperative Neuromonitorization In Thyroid Surgery – A Qualitative Leap? Um salto qualitativo?

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Detalhes bibliográficos
Resumo: 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.
Autores principais:Mourão, Mariana
Outros Autores:Guerreiro, Sofia; Crespo, Ana; Canberk, Sule; Tavares, Paula; Coutinho, José; Marques, Hugo Pinto
Assunto:nerve monitoring thyroid surgery recurrent nerve injury vocal cord paresis neuro-monitorização cirurgia tiroideia lesão nervo recorrente parésia corda vocal
Ano:2024
País:Portugal
Tipo de documento:artigo
Tipo de acesso:unknown
Instituição associada:Sociedade Portuguesa de Cirurgia
Idioma:português
Origem:Revista Portuguesa de Cirurgia
Descrição
Resumo: 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.