Precisión de la neuromonitorización en cirugía tiroidea

  1. Pardal Refoyo, José Luis
  2. Ochoa Sangrador, Carlos
  3. Cuello Azcárate, Jesús Javier
  4. Martín Almendra, María Ángeles
Revista:
Revista ORL

ISSN: 2444-7986 2444-7986

Año de publicación: 2013

Volumen: 4

Páginas: 175-193

Tipo: Artículo

Otras publicaciones en: Revista ORL

Resumen

Introducción y objetivos: El uso de la neuromonitorización en cirugía tiroidea es controvertido. La neuromonitorización ayuda en la identificación del nervio laríngeo recurrente, informa sobre su función al finalizar la cirugía y apoya en la toma de decisiones. Objetivo: revisar los resultados más relevantes publicados sobre la validez de la neuromonitorización del NLR en cirugía tiroidea y exponer un algoritmo de decisión. Métodos: revisión bibliográfica. Resultados: la precisión de la neuromonitorización en cirugía tiroidea es superior al 90%, variable de unos estudios a otros. Conclusiones: La neuromonitorización tiene utilidad para planificar y decidir diferentes estrategias en caso de pérdida de la señal o si hubo parálisis laríngea previa y tiene utilidad en la gestión de la vía aérea ayudando a la prevención de la parálisis laríngea bilateral.

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