The Effect of Intraoperative Nerve Monitoring in Parathyroid Adenoma Surgery
نویسندگان
1 Department of General Surgery, Tepecik Education and Research Hospital, University of Health Sciences, IZMIR, Turkey
2 Department of General Surgery, Tepecik Education and Research Hospital, University of Health Sciences, IZMIR, Turkey
3 Department of General Surgery, Tepecik Education and Research Hospital, University of Health Sciences, IZMIR, Turkey
4 Department of General Surgery, Tepecik Education and Research Hospital, University of Health Sciences, IZMIR, Turkey
5 Department of Otolaryngology–Head and Neck Surgery, Tepecik Education and Research Hospital, University of Health Sciences, IZMIR, Turkey
6 Department of General Surgery, Tepecik Education and Research Hospital, University of Health Sciences, IZMIR, Turkey
7 Department of Otolaryngology–Head and Neck Surgery, Tepecik Education and Research Hospital, University of Health Sciences, IZMIR, Turkey
8 Department of General Surgery, Tepecik Education and Research Hospital, University of Health Sciences, IZMIR, Turkey
9 Department of General Surgery, Tepecik Education and Research Hospital, University of Health Sciences, IZMIR, Turkey
doi
10.22034/ircmj.2024.200788چکیده
Background and Objectives: The use of intraoperative nerve monitor (IONM), which helps to locate and protect the recurrent laryngeal nerve (RLN), is increasing.Our aim in this study is to investigate the effect of IONM use on RLN damage in the post-operative period in low-risk parathyroid adenoma surgeries and to contribute to the literature on whether using IONM in this patient group is necessary or not. Methods: Patients who were operated for parathyroid adenoma in general surgery and otolaryngology clinic between January 2015 and January 2020 were included in the study. The patient's groups with IONM (Group 1) and without IONM (Group 2) were compared in terms of age, sex, adenoma size and postoperative complications. Results: Overall, 118 patients were included in the study; Group 1 comprised 38 patients and Group 2 comprised 80 patients. There was no statistically significant difference between the groups in terms of age, sex and RLN injury. It was observed that parathyroid adenoma was smaller in Group 1 (P < 0.05), but there was no significant relationship between parathyroid adenoma size and RLN injury (P > 0.05). Conclusion: This study revealed that IONM used in patients with low-risk parathyroid lesions didn’t affect postoperative RLN injury. However, while interpreting the findings of this study, it should be kept in mind that low-risk parathyroid surgeries can be made high-risk by non-specific surgeons in endocrine surgery. Therefore, the use of IONM in low-risk parathyroid lesions should be determined by the surgeon's own experience.
