Resumen
Introduction: Preservation of the recurrent laryngeal nerve is one of the greatest challenges during thyroid surgery. This study sought to determine if the development of a lesion on the initial side during thyroidectomy modifies the planned thyroid extension to the contralateral side. Methods: This is a descriptive retrospective study with a cohort of 88 patients from Centro de Tiroides y Paratiroides, on whom 48 thyroidectomies and 40 lobectomies were performed, during which 136 nerves at risk were identified by neuromonitoring. Results: 10 true signal losses were documented, in which the extent of the planned thyroid resection was not changed due to extensive carcinomatous disease. Conclusion: The routine use of neuromonitoring helps in the identification of the recurrent laryngeal nerve and allows knowing its postoperative function. When there is loss of signal on the initial side, when possible, postponing resection of the contralateral lobe will avoid bilateral nerve injury.
Citas
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