Patients with thyroid nodule that need surgery for treatment thyroid nodule thyroidectomy intraoperative nerve monitoring operative time recurrent laryngeal nerve
Conditions
Interventions
In the present,
the gold standard method for prevent recurrent laryngeal nerve injury during thyroid operation is find the nerve and confirm by visualisation alone and meticulous dissection.,intraoperative nerve moni
aid in nerve dissection and show the prognosis function of the nerve. The meta analysis showed that ionm decreased the rate of transient RLN injury but the rate of permanent injury still inconclusive.
Experimental Device,Experimental Device
conventional technique,intraoperative nerve monitoring
Sponsors
Faculty of medicine, Siriraj hospital, Mahidol university
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Patients with thyroid nodule that need surgery for treatment. Benign: Multinodular goiter, Graves’ disease, Toxic adenoma, Single adenoma, Well differentiated thyroid cancer
Exclusion criteria
Exclusion criteria: 1. Preoperative vocal cord dysfunction 2. History of neck surgery 3. History of radiation at head & neck region 4. Substernal goiter 5. Advanced stage of well differentiate thyroid cancer 6. (T4=tumor invasion or N>1 clinical lymph node metastasis) 7. BMI>35 kg/m2
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| compare the operative time and identification time in thyroid surgery operative time, identification time minute | — |
Secondary
| Measure | Time frame |
|---|---|
| rate of recurrent laryngeal nerve injury nerve injury after operation nerve | — |
Countries
thailand
Contacts
Public Contactprachya maneeprasopchoke
Siriraj hospital
Outcome results
None listed