Intraoperative nerve monitoring during parathyroid surgery: The Fort Worth experience

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

doi:10.1002/hed.24812

Intraoperative nerve monitoring during parathyroid surgery: The Fort Worth experience

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

Research output: Contribution to journal › Article › peer-review

5 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 language	English (US)
Pages (from-to)	1662-1664
Number of pages	3
Journal	Head and Neck
Volume	39
Issue number	8
DOIs	https://doi.org/10.1002/hed.24812
State	Published - Aug 2017

Keywords

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

ASJC Scopus subject areas

Otorhinolaryngology

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10.1002/hed.24812

Cite this

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title = "Intraoperative nerve monitoring during parathyroid surgery: The Fort Worth experience",

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.",

keywords = "intraoperative nerve monitoring, nerve injury, parathyroidectomy, recurrent laryngeal nerve, vocal fold paralysis",

author = "Moustafa Mourad and Sameep Kadakia and Ameya Jategaonkar and Eli Gordin and Yadranko Ducic",

note = "Publisher Copyright: {\textcopyright} 2017 Wiley Periodicals, Inc.",

year = "2017",

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doi = "10.1002/hed.24812",

language = "English (US)",

volume = "39",

pages = "1662--1664",

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T1 - Intraoperative nerve monitoring during parathyroid surgery

T2 - The Fort Worth experience

AU - Mourad, Moustafa

AU - Kadakia, Sameep

AU - Jategaonkar, Ameya

AU - Gordin, Eli

AU - Ducic, Yadranko

PY - 2017/8

Y1 - 2017/8

N2 - 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.

AB - 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.

KW - intraoperative nerve monitoring

KW - nerve injury

KW - parathyroidectomy

KW - recurrent laryngeal nerve

KW - vocal fold paralysis

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Intraoperative nerve monitoring during parathyroid surgery: The Fort Worth experience

Abstract

Keywords

ASJC Scopus subject areas

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