INTRAOPERATIVE NEUROMONITORING DURING HEAD AND NECK SURGERY

This clinical trial comparatively analyzed the frequency of postoperative neurological complications due to damage to motor (facial, recurrent, laryngeal, and accessory) nerves after head and neck operations using the traditional procedure or intraoperative neuromonitoring. Neuromonitoring made duri...

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Main Author: P. O. Rumyantsev
Format: Article
Language:Russian
Published: ABV-press 2015-04-01
Series:Опухоли головы и шеи
Subjects:
Online Access:https://ogsh.abvpress.ru/jour/article/view/26
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author P. O. Rumyantsev
author_facet P. O. Rumyantsev
author_sort P. O. Rumyantsev
collection DOAJ
description This clinical trial comparatively analyzed the frequency of postoperative neurological complications due to damage to motor (facial, recurrent, laryngeal, and accessory) nerves after head and neck operations using the traditional procedure or intraoperative neuromonitoring. Neuromonitoring made during operations on the thyroid and level VI central neck could reduce the rate of recurrent laryngeal nerve paralysis by more than twice (OR = 0.32; 95 % CI 0.11–0.86; p = 0.028). The author considers the absolute indication for intraoperative neuromonitoring to be high-risk surgery for nondeliberate damage to the motor nerves and impossibility of their visual detection.
format Article
id doaj-art-358cea7104734fd19ac2a8a66f62f172
institution Kabale University
issn 2222-1468
2411-4634
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publishDate 2015-04-01
publisher ABV-press
record_format Article
series Опухоли головы и шеи
spelling doaj-art-358cea7104734fd19ac2a8a66f62f1722025-08-20T04:00:26ZrusABV-pressОпухоли головы и шеи2222-14682411-46342015-04-0101323610.17650/2222-1468-2012-0-1-32-3626INTRAOPERATIVE NEUROMONITORING DURING HEAD AND NECK SURGERYP. O. Rumyantsev0Endocrinology Research Center, Ministry of Health and Social Development of Russia, MoscowThis clinical trial comparatively analyzed the frequency of postoperative neurological complications due to damage to motor (facial, recurrent, laryngeal, and accessory) nerves after head and neck operations using the traditional procedure or intraoperative neuromonitoring. Neuromonitoring made during operations on the thyroid and level VI central neck could reduce the rate of recurrent laryngeal nerve paralysis by more than twice (OR = 0.32; 95 % CI 0.11–0.86; p = 0.028). The author considers the absolute indication for intraoperative neuromonitoring to be high-risk surgery for nondeliberate damage to the motor nerves and impossibility of their visual detection.https://ogsh.abvpress.ru/jour/article/view/26intraoperative neuromonitoringrecurrent laryngeal nervethyroid
spellingShingle P. O. Rumyantsev
INTRAOPERATIVE NEUROMONITORING DURING HEAD AND NECK SURGERY
Опухоли головы и шеи
intraoperative neuromonitoring
recurrent laryngeal nerve
thyroid
title INTRAOPERATIVE NEUROMONITORING DURING HEAD AND NECK SURGERY
title_full INTRAOPERATIVE NEUROMONITORING DURING HEAD AND NECK SURGERY
title_fullStr INTRAOPERATIVE NEUROMONITORING DURING HEAD AND NECK SURGERY
title_full_unstemmed INTRAOPERATIVE NEUROMONITORING DURING HEAD AND NECK SURGERY
title_short INTRAOPERATIVE NEUROMONITORING DURING HEAD AND NECK SURGERY
title_sort intraoperative neuromonitoring during head and neck surgery
topic intraoperative neuromonitoring
recurrent laryngeal nerve
thyroid
url https://ogsh.abvpress.ru/jour/article/view/26
work_keys_str_mv AT porumyantsev intraoperativeneuromonitoringduringheadandnecksurgery