ArticleLangenbeck's archives of surgery2017
The learning curve for intraoperative neuromonitoring of the recurrent laryngeal nerve in thyroid surgery.
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 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The current state of intermittent intraoperative neural monitoring for prevention of recurrent laryngeal nerve injury during thyroidectomy: a PRISMA-compliant systematic review of overlapping meta-analyses.Langenbeck's archives of surgery · 2017Pooled it
- Contribution of intraoperative neural monitoring to preservation of the external branch of the superior laryngeal nerve: a randomized prospective clinical trial.Langenbeck's archives of surgery · 2017Trial
- Intraoperative recurrent laryngeal nerve monitoring in esophagectomy with lymphadenectomy.Journal of thoracic disease · 2026Article
- Thyroid surgery outcomes in a 4-year series with intraoperative neuromonitoring: a retrospective cohort study.Gland surgery · 2025Article
- Changes in thyroid surgery over last 25 years.Scientific reports · 2025Article
- Systematic review with meta-analysis of intraoperative neuromonitoring during thyroid reoperation.Pakistan journal of medical sciences · 2024Review
- Patterns and indications of intraoperative nerve monitoring usage during thyroidectomy and parathyroidectomy in Spain: results of a national survey of endocrine surgeons.Scientific reports · 2024Article
- The weepy cry - short neural signal bursts in intraoperative neuromonitoring.Langenbeck's archives of surgery · 2024Article
- Current Knowledge on the Use of Neuromonitoring in Thyroid Surgery.Biomedicines · 2024Review
- Artificial intelligence-powered intraoperative nerve monitoring: a visionary method to reduce facial nerve palsy in parotid surgery: an editorial.Annals of medicine and surgery (2012) · 2024Article
- The TOFr of 0.75 to 0.85 is the optimal timing for IONM during thyroid surgery: a prospective observational cohort study.BMC anesthesiology · 2023Observational
- Definition of learning curve for thyroidectomy: systematic review on the different approaches.Gland surgery · 2023Review
- Achieving the learning curve in total thyroidectomy: a prospective evaluation on resident's training by CUSUM and KPSS analysis.Annals of the Royal College of Surgeons of England · 2022Article
- Hypoparathyroidism Risk After Total Endoscopic Thyroidectomy for Papillary Thyroid Cancer: A Comparison of the Transoral Vestibular and Breast Approaches.Cancer management and research · 2022Article
- Utility of intraoperative neuromonitoring in detecting recurrent nerve's anatomical anomalies during thyroidectomy.Endocrine · 2020Article
- Recurrent laryngeal nerve injury assessment by intraoperative laryngeal ultrasonography: a prospective diagnostic test accuracy study.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2019Article
- A functional assessment of anatomical variants of the recurrent laryngeal nerve during thyroidectomies using neuromonitoring.Endocrine · 2018Article
- A Review of Methods for the Preservation of Laryngeal Nerves During Thyroidectomy.Sisli Etfal Hastanesi tip bulteni · 2018Review
- Thyroid reoperation using intraoperative neuromonitoring.Endocrine · 2017Article
- Intermittent neural monitoring of the recurrent laryngeal nerve in surgery for recurrent goiter.Gland surgery · 2016Review
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeIntraoperative neuromonitoring (IONM) of the recurrent laryngeal nerve (RLN) is often used in thyroid surgery. However, this procedure is complex and requires a learning period to master the technique. The aim of the study was to evaluate the learning curve for IONM.
methodsA 3-year period (2012-2014) of working with IONM (NIM3.0, Medtronic) was prospectively analyzed with a special emphasis on comparing the initial implementation phase in 2012 (101 patients, 190 RLNs at risk) with subsequent years of IONM use in 2013 (70 patients, 124 RLNs at risk) and 2014 (65 patients, 120 RLNs at risk).
resultsThe rate of successful IONM-assisted RLN identification increased gradually over the 3-year study period (92.11 % in 2012 vs. 95.16 % in 2013 vs. 99.16 % in 2014; p = 0.022), with a corresponding decrease in the rate of technical problems (12.87, 4.3, and 4.6 %, respectively; p = 0.039). The rate of RLN injuries tended to decrease over time: 3.68, 1.55, and 0.83 %, respectively (p = 0.220). Between 2012 and 2014, increases in the sensitivity (71.4 vs. 100 %), specificity (98 vs. 99 %), positive predictive value (62.5 vs. 75 %), negative predictive value (98 vs. 100 %), and overall accuracy of IONM (97.4 vs. 99.6 %) were observed (p = 0.049). Increasing experience with IONM resulted in more frequent utilization of total thyroidectomy (92 % in 2012 vs. 100 % in 2013-2014; p = 0.004).
conclusionsThere was a sharp decrease in the number of technical problems involving equipment setup from 2012 to 2014.
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