Does the Use of Intraoperative Neuromonitoring during Thyroid and Parathyroid Surgery Reduce the Incidence of Recurrent Laryngeal Nerve Injuries? A Systematic Review and Meta-Analysis

Authors

• Andrew Saxe
• Mohamed Idris
• Jickssa Gemechu, Oakland University William Beaumont School of Medicine Faculty

Document Type

Article

Publication Date

4-23-2024

Publication Title

Diagnostics (Basel)

Abstract

Injury to the recurrent laryngeal nerve (RLN) can be a devastating complication of thyroid and parathyroid surgery. Intraoperative neuromonitoring (IONM) has been proposed as a method to reduce the number of RLN injuries but the data are inconsistent. We performed a meta-analysis to critically assess the data. After applying inclusion and exclusion criteria, 60 studies, including five randomized trials and eight non-randomized prospective trials, were included. A meta-analysis of all studies demonstrated an odds ratio (OR) of 0.66 (95% CI [0.56, 0.79],

Volume

14

Issue

9

Recommended Citation

Saxe A, Idris M, Gemechu J. Does the Use of Intraoperative Neuromonitoring during Thyroid and Parathyroid Surgery Reduce the Incidence of Recurrent Laryngeal Nerve Injuries? A Systematic Review and Meta-Analysis. Diagnostics (Basel). 2024;14(9):860. Published 2024 Apr 23. doi:10.3390/diagnostics14090860

DOI

10.3390/diagnostics14090860

ISSN

2075-4418

PubMed ID

38732275