Loss of neuromonitoring signal during bilateral thyroidectomy: no systematic change in operative strategy according to a survey of the French Association of Endocrine Surgeons (AFCE)

Article Article scientifique Article Loss of neuromonitoring signal during bilateral thyroidectomy: no systematic change in operative strategy according to a survey of the French Association of Endocrine Surgeons (AFCE) eng 2015 author Khamsy Lilly 655451 author Constanthin Paul 670446 author Sadowski Samira author Triponez Frédéric 28673 95 10.1186/s12893-015-0082-5 26245329 1471-2482 Total thyroidectomy presents a risk of bilateral vocal cord paralysis, which can lead to compromised airway. Visual Recurrent Laryngeal Nerve (RLN) identification significantly decreases this risk of RLN lesion. Yet, an anatomically intact nerve is not always functional. Intraoperative neuromonitoring (IONM) allows to test in real time the function of the RLN. In case of loss of signal (LOS) on the first operated side, some authors recommend to stop the intervention. The purpose of this study was to characterize the operative strategy of the French-speaking surgeons in case of LOS on the first side in planned bilateral thyroidectomies. Dewey 617 Dewey 618 57 Département de chirurgie 222 58 Département de pédiatrie, gynécologie et obstétrique 223 false 902 Cancer du poumon et mésothéliome pleural malin 944 BMC surgery 15 1 b285946f-d1bd-44d3-bd77-1ae936a510a5 Article (Published version) Public s12893-015-0082-5.pdf 562073 application/pdf openAccess Faculté de médecine / Section de médecine clinique / Département de chirurgie Faculté de médecine / Section de médecine clinique / Département de pédiatrie, gynécologie et obstétrique

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Loss of neuromonitoring signal during bilateral thyroidectomy: no systematic change in operative strategy according to a survey of the French Association of Endocrine Surgeons (AFCE)	BMC surgery			2015	554	858

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Khamsy, Lilly