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Updated: May 23, 2026
Intra-Operative Neural Monitoring of Thyroid Surgery in a Porcine Model
Published on: February 11, 2019
[Thyroidectomy using the intra-operative neuromonitoring and the surgeon's confidence]
Rosario Sacco1, Ada Maria Lucisano, Nadia Innaro
1Cattedra di Clinica Chirurgica, U.O. di Chirurgia Generale, Università degli Studi Magna Graecia di Catanzaro.
Aim:
Reporting our experience with NIM-response 2.0 and 3.0 system in a series of 127 thyroidectomies.
Materials Of Study:
127 patients were operated at the "Magna Graecia" University (Catanzaro) from 2009 September to 2010 December, using the technique of IntraOperative NeuroMonitoring (IONM). For each patient the surgeon charge filled in a "questionnaire" assessing his/her compliance with the apparatus.
Results:
We report 0.8% permanent and 0.4% transient recurrent laryngeal nerve paralysis. All surgeons have been fully satisfied from IONM technique.
Discussion:
A recurrent laryngeal nerve lesion may occur in patients operated on total thyroidectomy between 5-8% for transient palsies and 1-3% for the permanent ones. The use of IONM seems to contribute to a reduction of transient paralysis, even if this method is still not widely accepted Nevertheless the compliance of the surgeons with IONM seems to develop very highly.
Conclusions:
NIM-response is helpful in protecting recurrent laryngeal nerve function. Advantages were observed in reduction of postoperative dysphonia and in improving the surgeon's confidence in performing a total thyroidectomy.
