Health Condition 1: D34- Benign neoplasm of thyroid gland Health Condition 2: O- Medical and Surgical Health Condition 3: O- Medical and Surgical Health Condition 4: X- New Technology
Conditions
Interventions
Intervention1: Intraoperative Neuromonitoring: IONM is performed using the nerve integrity monitor (NIM-Response 3.0 System
Medtronic Xomed, Jacksonville, FL, USA) . The device is configured with an amplitude threshold of 100 µV and a stimulation intensity of 1mA. Surface electrodes integrated with an endotracheal tube wit
Medtronic Xomed, Jacksonville, FL, USA) are attached to the nerve integrity monitor. During intubation, the tube is placed between VCs under direct vision. A monopolar electrode with an interrupted s
Sponsors
Dr Sanjib Barman
Eligibility
Inclusion criteria
Inclusion criteria: All patients within the age group between 20 and 50 years with thyroid swellings, nodular or cystic, benign or malignant, subjected to thyroidectomy will be included in the study
Exclusion criteria
Exclusion criteria: 1.Previous thyroid surgery or other surgery involving neck 2.Previous history of radiation to neck 3.Anaplastic carcinoma of thyroid 4.Patients with any preoperative vocal cord mobility disorder 5.Pregnancy and lactation 6.Bleeding diathesis, anemia, poor anesthetic risk or uncontrolled medical illness.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To evaluate the efficacy of intraoperative neuromonitoring in identification of external branch of superior laryngeal nerve during thyroidectomy operation in comparison to the standard visual identificationTimepoint: During operation, post operative day 1,5 and 15 | — |
Secondary
| Measure | Time frame |
|---|---|
| To assess pitfalls in the use of nerve monitor during external branch of superior laryngeal nerve identification in thyroidectomy operation.Timepoint: During operation | — |
Countries
India
Contacts
Public ContactDr Abhinandan Bhattacharjee
Silchar Medical College and Hospital
Outcome results
None listed