Intraoperative nerve monitoring during parathyroid surgery: The Fort Worth experience

Moustafa Mourad, Sameep Kadakia, Ameya Jategaonkar, Eli Gordin, Yadranko Ducic

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Background: Avoidance of recurrent laryngeal nerve (RLN) injury during parathyroid surgery is of paramount important. The purpose of this study was to determine if intraoperative nerve monitoring allowed for decreased rates of RLN injury during parathyroid surgery. Method: Between 1997 and 2016, 213 patients undergoing parathyroidectomy were retrospectively analyzed to determine postoperative recurrent nerve injury. Eighty-seven patients did not have intraoperative nerve monitoring, whereas 126 patients did. Results: Based on the number of patients presenting with nerve injury during the postoperative period operated on with and without nerve monitoring, it was found that the difference in the 2 modalities was not statistically significant (P >.05). Conclusion: Routine use of intraoperative nerve monitoring during parathyroid surgery may not yield any additional benefit in preventing injury to the RLN.

Original languageEnglish (US)
Pages (from-to)1662-1664
Number of pages3
JournalHead and Neck
Volume39
Issue number8
DOIs
StatePublished - Aug 1 2017

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Keywords

  • intraoperative nerve monitoring
  • nerve injury
  • parathyroidectomy
  • recurrent laryngeal nerve
  • vocal fold paralysis

ASJC Scopus subject areas

  • Otorhinolaryngology

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