TY - JOUR
T1 - The Efficacy of Intraoperative Neuromonitoring during Robotic Thyroidectomy
T2 - A Prospective, Randomized Case-Control Evaluation
AU - Lee, Hye Yoon
AU - Lee, Ju Young
AU - Dionigi, Gianlorenzo
AU - Bae, Jeoung Won
AU - Kim, Hoon Yub
N1 - Publisher Copyright:
© Mary Ann Liebert, Inc. 2015.
PY - 2015/11/1
Y1 - 2015/11/1
N2 - Background: This study evaluates the efficacy of intraoperative neuromonitoring (IONM) on voice performance in robotic thyroidectomy. Materials and Methods: The study was based on a prospective randomized series. Between June 2011 to September 2012, 50 patients with thyroid cancer who underwent robotic thyroidectomy were enrolled. The IONM and non-IONM groups consisted of 25 patients each. Voice Handicap Index (VHI), voice range profile (VRP), and laryngoscopy were used to assess voice function before surgery and at 2 weeks, 3 months, and 6 months after the operation. Results: No palsy was diagnosed by laryngoscopy in either group. VHI values were similar in both groups. In the IONM group, there was significantly earlier recovery in VRP minimum intensity compared with the non-IONM group. However, there were no differences of mean change of VRP maximum frequency and intensity or minimum frequency between the two groups. Conclusions: We found that IONM facilitated more rapid recovery of voice function, especially in VRP minimum intensity, during robotic thyroid surgery.
AB - Background: This study evaluates the efficacy of intraoperative neuromonitoring (IONM) on voice performance in robotic thyroidectomy. Materials and Methods: The study was based on a prospective randomized series. Between June 2011 to September 2012, 50 patients with thyroid cancer who underwent robotic thyroidectomy were enrolled. The IONM and non-IONM groups consisted of 25 patients each. Voice Handicap Index (VHI), voice range profile (VRP), and laryngoscopy were used to assess voice function before surgery and at 2 weeks, 3 months, and 6 months after the operation. Results: No palsy was diagnosed by laryngoscopy in either group. VHI values were similar in both groups. In the IONM group, there was significantly earlier recovery in VRP minimum intensity compared with the non-IONM group. However, there were no differences of mean change of VRP maximum frequency and intensity or minimum frequency between the two groups. Conclusions: We found that IONM facilitated more rapid recovery of voice function, especially in VRP minimum intensity, during robotic thyroid surgery.
UR - http://www.scopus.com/inward/record.url?scp=84947585188&partnerID=8YFLogxK
U2 - 10.1089/lap.2014.0544
DO - 10.1089/lap.2014.0544
M3 - Review article
C2 - 26575249
AN - SCOPUS:84947585188
SN - 1092-6429
VL - 25
SP - 908
EP - 914
JO - Journal of Laparoendoscopic and Advanced Surgical Techniques
JF - Journal of Laparoendoscopic and Advanced Surgical Techniques
IS - 11
ER -