Role of intraoperative recurrent laryngeal nerve monitoring for pediatric thyroid surgery: Comparative analysis

Amit Ritter*, Roy Hod, Yonatan Reuven, Thomas Shpitzer, Aviram Mizrachi, Eyal Raveh, Gideon Bachar

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Background: The data on the advantages of intraoperative nerve monitoring (IONM) during pediatric thyroid surgeries are limited. We aimed to study the role of IONM by comparing between children who underwent thyroid surgery with and without IONM. Methods: A retrospective study of all children who underwent thyroid surgery between 2001 and 2019. Results: The study included 113 patients with 183 recurrent laryngeal nerve (RLN) at risk. Transient paralysis rate was more than 5-fold lower in the IONM group compared to the control group (1.5% vs 8%; P =.114). Permanent paralysis was documented only in the control group (2.5% vs 0%; P =.552). Children <10 years and those who underwent central neck dissection had significantly higher rates of RLN injury. Conclusions: IONM was associated with decreased rate of RLN injury during pediatric thyroid surgery and should be considered especially in children under 10 years of age and those undergoing concomitant central neck dissection.

Original languageEnglish
Pages (from-to)849-857
Number of pages9
JournalHead and Neck
Volume43
Issue number3
DOIs
StatePublished - Mar 2021

Keywords

  • head and neck
  • intraoperative nerve monitoring
  • pediatrics
  • recurrent laryngeal nerve
  • thyroidectomy

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