Department of Neuroscience and Psychiatry Sciences, Bambino Gesù Children’s Hospital—IRCC, 00165 Rome, Italy
Commentary
Neuromonitoring for thyroid surgery in children and adolescents is described
Author(s): Alessandro Malara*
Although intraoperative neuromonitoring (IONM) of the recurrent
laryngeal nerve (RLN) has been shown in adults to reduce nerve palsy
after thyroid surgery, there have been few studies on its efficacy
in a paediatric population. We conducted a retrospective study on
patients who had thyroid lesions removed between 2016 and 2022.
The study population was divided into two groups: patients treated
from 2016 to 2020, when the RLN was identified without the use of
IONM (Group A), and patients treated since 2021, when IONM was
used in all thyroid surgical procedures (Group B). Corticobulbar motorevoked
potentials and continuous electromyography were used for
intraoperative neurophysiological monitoring. Thyroid resection was
performed on 25 children, 19 (76%) of whom had thyroid carcinoma.
Each patient's recurrent nerve was examined. IONM was u.. View More»
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