Recurrent Laryngeal Nerve Monitoring During Sutureless Total Thyroidectomy

摘要

Injury to cranial nerve represent 5% of negligence litigation against general surgeons and of all malpractice jury verdicts in endocrine surgery 60% accounts for recurrent nerve injuries and 15% for anoxic brain injuries from RLN injuries, unrecognized post-operatively, During Total Thyroidectomy is reported an incidence of failure to find the nerve in as many as (5-18%)of cases and if we think that routine identification of the RLN during thyroid surgery has reduced the injury rate from 10% to less than 4% and that the incidence of nerve paralysis was 3 to 4 times greater in cases where the nerve was not exposed than in cases where was routinely exposed, then we understand the importance of a clear identification during every thyroid dissection.