INTRAOPERATIVE NEUROMONITORING DURING HEAD AND NECK SURGERY

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Abstract

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.

About the authors

P. O. Rumyantsev

Endocrinology Research Center, Ministry of Health and Social Development of Russia, Moscow

Author for correspondence.
Email: rumyantsev.pavel@endocrincentr.ru
Russian Federation

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