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[Intraoperative neuromonitoring of the recurrent laryngeal nerve--routine use in thyroid gland surgery]
A Kienast1, C Richter, H J Neumann
1Klinik für Allgemein-, Unfall- und Visceralchirurgie, Städtisches Krankenhaus Martha-Maria Halle-Dölau gem. GmbH.
Abstract:
We present a simple and reliable method for identification of the recurrent nerve by intraoperative stimulation. An electromyographic record from the vocal muscle is obtained using a bipolar needle electrode inserted through the cricothyroid membrane. The recurrent nerve could be easily identified in 176 cases out of 181 nerves at risk (97.2%). We have not seen any cases of recurrent nerve paralysis and discuss the advantages of intraoperative neuromonitoring as a routine procedure.