How does neural monitoring help during thyroid sugery for Graves' disease?
DC Field | Value | Language |
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dc.contributor.author | Zhou, Le | - |
dc.contributor.author | Dionigi, Gianlorenzo | - |
dc.contributor.author | Pontin, Alessandro | - |
dc.contributor.author | Pino, Antonella | - |
dc.contributor.author | Caruso, Ettore | - |
dc.contributor.author | Wu, Che-Wei | - |
dc.contributor.author | Sun, Hui | - |
dc.contributor.author | Tufano, Ralph P. | - |
dc.contributor.author | Kim, Hoon Yub | - |
dc.date.accessioned | 2021-09-01T18:08:20Z | - |
dc.date.available | 2021-09-01T18:08:20Z | - |
dc.date.created | 2021-06-19 | - |
dc.date.issued | 2019-03 | - |
dc.identifier.issn | 2214-6237 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/67147 | - |
dc.description.abstract | We evaluate the role of intraoperative neuromonitoring (IONM) in thyroidectomy performed for Graves' disease (GD) with an emphasis on recurrent laryngeal nerve (RLN) management and completeness of resection. The study is a retrospective series comprising 55 thyroidectomy (control group) versus 82 procedures with intermittent IONM (I-IONM) and 72 by means of continuous IONM (C-IONM). In the control group the laryngeal nerves have been identified by visualization solely. In the I-IONM group both vagal nerve (VN) and RLN have been localized and monitored during thyroid resection. C-IONM was achieved with a vagal stimulation probe. I-IONM group had shorter operating times (P = 0.032). RLN morbidity, meaning palsy rate, was 2.7% in the C-IONM group, 3.6% in I-IONM and 5.4% in the control group (P = 0.058). The proportion of complete procedures (total or near total resections) were significantly higher using monitoring technology (P = 0.049). Persistent positive serum TBII values were found in 25 (45%), 25 (30%) and 20 (27%) patients at 12 months in the control, I-IONM and C-IONM groups respectively (P = 0,04). IONM is an effective technology in GD patients. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | ELSEVIER SCIENCE BV | - |
dc.subject | RECURRENT LARYNGEAL NERVE | - |
dc.subject | INTRAOPERATIVE NEUROMONITORING IONM | - |
dc.subject | EXTERNAL BRANCH | - |
dc.subject | MANAGEMENT | - |
dc.subject | HYPERTHYROIDISM | - |
dc.subject | IDENTIFICATION | - |
dc.subject | INJURY | - |
dc.title | How does neural monitoring help during thyroid sugery for Graves' disease? | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Kim, Hoon Yub | - |
dc.identifier.doi | 10.1016/j.jcte.2018.11.002 | - |
dc.identifier.scopusid | 2-s2.0-85056890843 | - |
dc.identifier.wosid | 000461486600002 | - |
dc.identifier.bibliographicCitation | JOURNAL OF CLINICAL AND TRANSLATIONAL ENDOCRINOLOGY, v.15, pp.6 - 11 | - |
dc.relation.isPartOf | JOURNAL OF CLINICAL AND TRANSLATIONAL ENDOCRINOLOGY | - |
dc.citation.title | JOURNAL OF CLINICAL AND TRANSLATIONAL ENDOCRINOLOGY | - |
dc.citation.volume | 15 | - |
dc.citation.startPage | 6 | - |
dc.citation.endPage | 11 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Endocrinology & Metabolism | - |
dc.relation.journalWebOfScienceCategory | Endocrinology & Metabolism | - |
dc.subject.keywordPlus | RECURRENT LARYNGEAL NERVE | - |
dc.subject.keywordPlus | INTRAOPERATIVE NEUROMONITORING IONM | - |
dc.subject.keywordPlus | EXTERNAL BRANCH | - |
dc.subject.keywordPlus | MANAGEMENT | - |
dc.subject.keywordPlus | HYPERTHYROIDISM | - |
dc.subject.keywordPlus | IDENTIFICATION | - |
dc.subject.keywordPlus | INJURY | - |
dc.subject.keywordAuthor | Thyroid surgery | - |
dc.subject.keywordAuthor | Graves&apos | - |
dc.subject.keywordAuthor | disease | - |
dc.subject.keywordAuthor | Neural monitoring | - |
dc.subject.keywordAuthor | Recurrent laryngeal nerve | - |
dc.subject.keywordAuthor | Morbidity | - |
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