Leonardo Romano Torres
University General Hospital of Puebla, Mexico
Title: Advantages of neuromonitoring during surgery of thyroid and parathyroid
Biography
Biography: Leonardo Romano Torres
Abstract
Surgery for thyroid and thyroid has changed in recent years. Since the study published by Lahey 1938, the rate of disphonia decreased considerably. Multiple studies support this technique like the Study of Hermann in 2002 with more than 27 thousand nerves studied, as the Ridell ,s in the 50, s decade ; however this technical direction has not been enough to Prevent Damage to the RLN (recurrent laryngeal nerve) , And Avoid Causing Dysphonia that decrease Quality of Life of Patients. Dysphonia is the cause of More Frequent medical Lawsuits in thyroid and para thyroid surgery. The rate of temporary RLN injuries ranging between 5 -10%, and The Permanent Between 1-2%. There are several factors That may condition NLR mayor Exposure and Risk for Injury Patients As For example: Giant goiter, Lymphadenectomy, hyperthyroidism, Thyroid Carcinoma, Re-operations. Exist Other Circumstances as the anatomical variants RLN which exposed a mayor injury rate Such as: bifurcations, trifurcations (extra-laryngeal branches). As the Study of Sitges Serra and J. Sancho (BJS Published in 2006) is based. The neuro-monitoring has proven useful Significant decreasing rate of RLN injury in some Studies. Also has great help in other aspects of thyroid and para thyroid surgery. Neuromonitoring of the RNL is a technique that brings Benefits Such as: • Aid Identification of the RLN. • Aid RLN dissection. • Decreased post-operative dysphonia Rate in Patients with higher risk. • Diagnosis intraoperative of RLN injury. • Legal -Medical support. • Neurophysiological nerve support during surgery.