Evidence of Neuromonitoring and Decision-Making during Thyroidectomy: Case Report

Abstract

Thyroidectomy is the resection of the thyroid gland; this can be performed on an ambulatory way [1] without significantly increasing the morbidity of the procedure. Intraoperative neuromonitoring has been used in thyroid surgery to identify the recurrent laryngeal nerve and the superior laryngeal nerve, has high specificity (99.4%) and negative predictive value (99.8%) in addition to good sensitivity (93.6%) and positive predictive value (78.4%), [2] allows the surgeon to detect the first data of nerve injury, which is initially reversible.[3] In addition to effectively identifying anatomical nerve variants, resulting in visualization of areas with the highest vulnerability for dissection. (Berry ligament, Zuckerkandl Tubercle and inferior thyroid artery). [4]