Articles: nodular-goiter.
Showing all 110 articles tagged:
Nodular goiter
-
Langenbecks Arch Surg · Mar 2013
Comparative StudyIONM-guided goiter surgery leading to two-stage thyroidectomy--indication and results.
Intraoperative neuromonitoring (IONM) in thyroid surgery allows for changing the operative strategy during bilateral procedures to avoid bilateral recurrent laryngeal nerve palsy (RLNP). While this strategy is comprehendible for the surgeon, the question remains, whether it is always necessary. ⋯ We have shown a significant difference in the rate of bilateral RLNP when comparing termination and continuation of a bilateral procedure after primary IONM signal loss. We strongly recommend a two-stage thyroidectomy after signal loss on the primary side of resection in benign bilateral goiter surgery.