Intraoperative Monitoring and Preservation of Anatomic Integrity of Palsied Recurrent Laryngeal Nerve is Extremely Meaningful During Redo Thyroid Surgery

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dc.contributor.authorGürleyik, Emin
dc.date.accessioned2023-07-26T11:50:02Z
dc.date.available2023-07-26T11:50:02Z
dc.date.issued2022
dc.departmentDÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Genel Cerrahi Ana Bilim Dalıen_US
dc.description.abstractRedo thyroid surgery on patients with unilateral recurrent laryngeal nerve (RLN) palsy certainly poses a great surgical challenge. We present a case of a patient with unilateral vocal cord (VC) palsy who underwent redo thyroid surgery under intraoperative neuromonitoring. The patient's normal speaking voice was maintained after the primary surgery, even though preoperative laryngoscopy showed an immobile right VC with a normal structure. During reoperation, surgical exploration revealed the anatomical integrity of palsied RLN with extralaryngeal terminal bifurcation. The electrophysiological stimulation of the vagus nerve and palsied RLN generated wave amplitudes (V1: 242, R1: 347, R2: 352 and V2: 152 mu V). Despite positive amplitudes, postoperative laryngoscopy confirmed RLN palsy and corresponding VC paralysis but preserved the structure of the immobile VC. Even palsied RLN should be monitored during redo surgery. A positive signal delineates at least partial neural transmission despite VC palsy. The preservation of anatomical integrity of palsied RLN for eventual partial conductivity may be vital in preserving the normal structure of VC and maintaining the patient's voice despite its immobility.en_US
dc.identifier.doi10.29271/jcpsp.2022.JCPSPCR.CR105
dc.identifier.endpage107en_US
dc.identifier.issn1022-386X
dc.identifier.issn1681-7168
dc.identifier.scopus2-s2.0-85145429669en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage105en_US
dc.identifier.urihttps://doi.org/10.29271/jcpsp.2022.JCPSPCR.CR105
dc.identifier.urihttps://hdl.handle.net/20.500.12684/12214
dc.identifier.volume32en_US
dc.identifier.wosWOS:000943650300004en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.institutionauthorGürleyik, Emin
dc.language.isoenen_US
dc.publisherColl Physicians & Surgeons Pakistanen_US
dc.relation.ispartofJcpsp-Journal of The College of Physicians and Surgeons Pakistanen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmz$2023V1Guncelleme$en_US
dc.subjectSurgery; Redo Thyroidectomy; Recurrent Laryngeal Nerve Injury; Vocal Cord Palsyen_US
dc.subjectMetaanalysisen_US
dc.titleIntraoperative Monitoring and Preservation of Anatomic Integrity of Palsied Recurrent Laryngeal Nerve is Extremely Meaningful During Redo Thyroid Surgeryen_US
dc.typeArticleen_US

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