Supero-inferior Thyroidectomy Technique in Papillary Thyroid Carcinoma: Preliminary Results of Thirteen Cases with Intraoperative Nerve Monitoring

Ahmet Serkan İlgün, Kadir Çağdaş Kazıkdaş
2020 Journal of Academic Research in Medicine  
Objective: This study aimed to investigate the novel use of a surgical technique using intraoperative nerve monitoring (IONM) technology in conjunction with supero-inferior thyroid dissection technique for selected cases of diagnosed papillary carcinoma. We also aimed to determine the minimal stimulation thresholds for the recurrent laryngeal nerve (RLN) before its insertion into the larynx through the cricothyroid membrane. Methods: In this retrospective analysis, 13 consecutive patients (11
more » ... tive patients (11 women, 2 men) aged 42-71 years (median, 53 years) who underwent total thyroidectomy with a preoperative diagnosis of papillary thyroid carcinoma only were included. The supero-inferior dissection technique has been detailed within the manuscript. After completion of thyroidectomy, the minimum current enough to stimulate the RLN at the most distal point was measured and recorded. Results: The mean minimum stimulation current was 0.26±0.07 mA and 0.25±0.07 mA on the left and right sides, respectively. No permanent or transient RLN paralysis was observed postoperatively. Conclusion: The supero-inferior dissection technique may have advantages, such as identification of the RLN in a constant point even in nonrecurrent cases and low complication rates, but it still requires delicate and careful dissection based on our experience and should be combined with the IONM technique, if possible. ABSTRACT ORCID IDs of the authors: A.S.İ.
doi:10.4274/jarem.galenos.2019.2952 fatcat:vjzcjvpw2zhjhbyznoyvfr3cbq