INTRODUCTION: N. laryngeus reccurens injury is a serious complication in thyroid surgery. Nerve visualization is a procedure preventing its traumatization. The visualization with additional intraopertive neuromonitoring results in further reduction of the n. laryngeus reccurens injury rates. AIM: Verification of the intraoperative neuromonitoring effects on reduction of the n. laryngeus reccurens injury rates. MATERIAL, METHODOLOGY: 309 operated patients were included in the intraoperative neuromonitoring prospective study. A total of 295 patients were included in the study and intraoperative monitoring was performed per protocol. RESULTS: Out of the total of 295 subjects, 1 patient sufferred from permanent paresis, ie. 0.33%, nerves at risk 0.2%. 6 subjects sufferred from transient pareses, i.e. 2.03%, nerves at risk 1.2%, with a prevailing 8-week recovery period of the ORL findings. CONCLUSION: Intraoperative neuromonitoring in thyroid surgery is yet another option for reduction of the n. laryngeus reccurens intraoperative injury rates.

• MeSH
• elektrická stimulace MeSH
• lidé MeSH
• nervus laryngeus recurrens fyziologie   MeSH
• paratyreoidektomie škodlivé účinky   MeSH
• peroperační komplikace prevence a kontrola   MeSH
• peroperační monitorování * MeSH
• poranění nervus laryngeus recurrens * MeSH
• tyreoidektomie škodlivé účinky   MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• anglický abstrakt MeSH
• časopisecké články MeSH

AIM: The n. laryngeus recurrens (NLR) neurostimulation technique is described as a recently introduced method in the Czech Republic, used to prevent injuries to the recurrent nerve during thyroid procedures, highlighting its significance. METHOD: Neurostimulation of the n. laryngeus recurrens (NLR) during thyroid procedures is a method which has been, in recent years, introduced worldwide as a standard procedure in peroperative injuries prevention. A generally accepted doctrine on the risk of peroperative recurrent nerve lesions minimalization has not been established, however. neurostimulation may be a contribution. RESULTS: The new technique was employed in 370 patients operated in 2005/2006 and no permanent NLR paresis was recorded. CONCLUSION: Neurostimulation of the NLR during thyreoidectomy is a new method, further reducting probability of a peroperative recurrent nerve injury.

• MeSH
• elektrická stimulace přístrojové vybavení   MeSH
• lidé MeSH
• nervus laryngeus recurrens fyziologie   MeSH
• peroperační komplikace prevence a kontrola   MeSH
• peroperační monitorování MeSH
• poranění nervus laryngeus recurrens * MeSH
• tyreoidektomie škodlivé účinky   MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• anglický abstrakt MeSH
• časopisecké články MeSH

In anaesthetized and paralysed cats, the response of the laryngeal motoneurones during the expiration reflex is characterized by pronounced activation of the expiratory laryngeal motoneurones in the compressive phase and the subsequent constriction phase. In the expulsive phase the frequency of these discharges is significantly reduced. The inspiratory laryngeal motoneurones are inhibited during the reflex. The expiration reflex, in anaesthetized cats, is accompanied in the compressive phase and the subsequent constriction phase by a two-phase increase in laryngeal resistance. In the expulsive phase there is a significant drop in resistance.

• MeSH
• akční potenciály MeSH
• dechový objem MeSH
• dýchání * MeSH
• elektrofyziologie MeSH
• kočky MeSH
• laryngální nervy fyziologie   MeSH
• larynx fyziologie   MeSH
• motorické neurony fyziologie   MeSH
• nervus laryngeus recurrens fyziologie   MeSH
• rezistence dýchacích cest MeSH
• tlak MeSH
• zvířata MeSH
• Check Tag
• kočky MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• zvířata MeSH
• Publikační typ
• časopisecké články MeSH