Head and Neck TumorsHead and Neck TumorsОпухоли головы и шеи2222-14682411-4634Publishing House ABV Press2610.17650/2222-1468-2012-0-1-32-36ORIGINAL REPORTSОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯINTRAOPERATIVE NEUROMONITORING DURING HEAD AND NECK SURGERYИНТРАОПЕРАЦИОННЫЙ НЕЙРОМОНИТОРИНГ ПРИ ОПЕРАЦИЯХ НА ГОЛОВЕ И ШЕЕRumyantsevP. O.РумянцевП. О.
Russian Federation
rumyantsev.pavel@endocrincentr.ruEndocrinology Research Center, Ministry of Health and Social Development of Russia, MoscowФГБУ «Эндокринологический научный центр» Минздрава России, Москва140420122132361504201515042015Copyright ©; 2012, Rumyantsev P.O.Copyright ©; 2012, Румянцев П.О.2012Rumyantsev P.O.Румянцев П.О.https://creativecommons.org/licenses/by/4.0https://ogsh.abvpress.ru/jour/article/view/26

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.

В данном клиническом исследовании проведен сравнительный анализ частоты послеоперационных неврологических осложнений вследствие повреждения двигательных нервов (лицевой, возвратный гортанный, добавочный) после операций в области головы и шеи, выполнявшихся традиционным способом и с применением интраоперационного нейромониторинга. Использование нейромониторинга при операциях на щитовидной железе и центральной клетчатке шеи (VI уровень) позволило снизить частоту паралича возвратного гортанного нерва более чем в 2 раза (OR = 0,32; 95 % ДИ 0,11–0,86; p = 0,028). Абсолютным показанием к применению интраоперационного нейромониторинга автор считает операции с высоким риском непреднамеренного повреждения двигательных нервов, а также невозможностью их визуального обнаружения.

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