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SAFETY AND EFFICACY OF TONSIL SQUARE APPLICATION ON AUTOMATIC PERIODIC STIMULATION ( APS) ELECTRODE IN CONTINUOUS INTRAOPERATIVE NEUROMONITORING (CIONM) DURING THYROIDECTOMY

SAFETY AND EFFICACY OF TONSIL SQUARE APPLICATION ON AUTOMATIC PERIODIC STIMULATION ( APS) ELECTRODE IN CONTINUOUS INTRAOPERATIVE NEUROMONITORING (CIONM) DURING THYROIDECTOMY

Status
Active, not recruiting
Phases
Phase 4
Study type
Interventional
Source
TCTR
Registry ID
TCTR20260613002
Enrollment
62
Registered
2026-06-13
Start date
2024-07-12
Completion date
Unknown
Last updated
2026-08-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Thyroid disease requiring thyroidectomy Thyroidectomy Intraoperative Neurophysiological Monitoring Vagus Nerve Recurrent Laryngeal Nerve Injuries

Interventions

Standard lateral approach will be used to apply APS electrode during Continuous Intraoperative Nerve Monitoring ( CIONM),Standard lateral approach will be used to apply APS electrode during Continuous
Active Comparator Other,Experimental Other
Standard APS Electrode Placement, APS electrode with Tonsil Square Application

Sponsors

Universiti kebangsaan Malaysia (UKM)/ National University of Malaysia
Lead Sponsor
Hospital Canselor Tuanku Muhriz(HCTM)
Collaborator

Eligibility

Sex/Gender
All
Age
18 Years to No maximum

Inclusion criteria

Inclusion criteria: 1. All patients of age more than 18 years old who underwent thyroid surgery operated by the breast and endorine surgeons in Hospital Canselor Tuanku Muhriz

Exclusion criteria

Exclusion criteria: 1. Patients who had preoperative abnormality of vocal cord 2. Thyroid lesion involving lymph node metastasis 3. Patients who had previously underwent thyroid surgery as a result of benign or malignant disease subsequently undergone secondary surgical intervention will be excluded from this study.

Design outcomes

Primary

MeasureTime frame
APS dislodgement Rate Intraoperative method incidence of APS dislodgement

Secondary

MeasureTime frame
Nerve Injury rate Intraoperative and at completion of thyroidectomy Incidence of nerve injury,Factors Associated with APS Electrode Dislodgement During surgery and at completion of surgery Categorical variables using Chi Square. Continuous variable using Mann Whitney test for non normally distributed data,Loss of Signal (LOS) due to APS Electrode Dislodgement intraoperative incidence of LOS during CIONM

Countries

Malaysia

Contacts

Public ContactAdi Syazni Muhammed

Hospital Canselor Tuanku Muhriz UKM

adisyazni.hctm@ukm.edu.my0195780551

Outcome results

None listed

Source: TCTR (via WHO ICTRP) · Data processed: Aug 10, 2026