Evidence map›Paper›PMID 26886281›Full record

ArticleLangenbeck's archives of surgery2017

Recurrent laryngeal nerve injury with incomplete loss of electromyography signal during monitored thyroidectomy-evaluation and outcome.

Che-Wei Wu, Min Hao, Mengzi Tian, Gianlorenzo Dionigi, Ralph P Tufano, Hoon Yub Kim, Kwang Yoon Jung, Xiaoli Liu, Hui Sun, I-Cheng Lu and 2 more

Abstract read
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In one paragraph

Article in Langenbeck's archives of surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  17. Neuromuscular blockade management for intraoperative neural monitoring.The Kaohsiung journal of medical sciences · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Che-Wei WuDepartment of Otolaryngology-Head and Neck Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, 100 TzYou 1st Road, Kaohsiung City, 807, Taiwan.
Min HaoDepartment of Breast Thyroid Surgery, The People's Hospital of Dong Ying, Shan Dong province, China.
Mengzi TianDepartment of Breast Thyroid Surgery, The People's Hospital of Dong Ying, Shan Dong province, China.
Gianlorenzo Dionigi1st Division of Surgery, Research Center for Endocrine Surgery, Department of Surgical Sciences and Human Morphology, University of Insubria (Como-Varese), Varese, Italy.
Ralph P TufanoDepartment of Otolaryngology-Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Hoon Yub KimDepartment of Surgery, Korea University College of Medicine, Seoul, South Korea.
Kwang Yoon JungDepartment of Otolaryngology-Head and Neck Surgery, Korea University College of Medicine, Seoul, South Korea.
Xiaoli LiuDepartment of Thyroid and Parathyroid Surgery, China-Japan Union Hospital, Jilin Provincial Key Laboratory of Surgical Translational Medicine, Jilin University, Changchun, Jilin, China.
Hui SunDepartment of Thyroid and Parathyroid Surgery, China-Japan Union Hospital, Jilin Provincial Key Laboratory of Surgical Translational Medicine, Jilin University, Changchun, Jilin, China.
I-Cheng LuFaculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
Pi-Ying ChangDepartment of Anesthesiology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
Feng-Yu ChiangDepartment of Otolaryngology-Head and Neck Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, 100 TzYou 1st Road, Kaohsiung City, 807, Taiwan. fychiang@kmu.edu.tw.ORCID http://orcid.org/0000-0003-1052-5348

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDuring monitored thyroidectomy, a partially or completely disrupted point of nerve conduction on the exposed recurrent laryngeal nerve (RLN) indicates true electrophysiologic nerve injury. Complete loss of signal (LOS; absolute threshold value <100 μV) at the end of operation often indicates a postoperative vocal cord (VC) palsy. However, the evaluation for the injured RLN with incomplete LOS and its functional outcome has not been well described.

methodsThree hundred twenty-three patients with 522 RLNs at risk who underwent standardized monitored thyroidectomy were enrolled. The RLN was routinely stimulated at the most proximal (R

resultsTwenty-nine RLNs (5.6 %) were detected with an injury point. Five nerves had complete LOS and other 24 nerves had incomplete LOS where the R

conclusionsTesting and comparing the R

Indexed as

ElectromyographyAdolescentAdultAgedAged, 80 and overFemaleHumansIntraoperative ComplicationsMaleMiddle AgedMonitoring, IntraoperativeNeural ConductionPostoperative ComplicationsPredictive Value of TestsProspective StudiesRecovery of FunctionElectromyographyIntraoperative neuromonitoringLoss of signalRecurrent laryngeal nerveThyroid surgery

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.