Universal Use of Intraoperative Nerve Monitoring by Recently Fellowship-Trained Thyroid Surgeons is Common, Associated with Higher Surgical Volume, and Impacts Intraoperative Decision-Making

World Journal of Surgery
Jennifer L MartiGregory W Randolph

Abstract

The value of routine use of intraoperative recurrent laryngeal nerve monitoring (IONM) in thyroid surgery is controversial. We analyzed the practices of recently fellowship-trained thyroid surgeons from two diverging surgical backgrounds with respect to IONM. We hypothesized that the majority of recently trained surgeons would use IONM, and that it would potentially influence their operative procedure. A 21-question survey was sent to 56 fellowship-trained endocrine and head and neck surgeons who completed fellowships accredited by the American Association of Endocrine Surgeons or American Head and Neck Society within the past 10 years, examining the demographics of respondents, and details of IONM practice. Groups were compared using the Fisher exact and χ (2) tests. The response rate for the survey was 76 % (42/56). Overall, 95 % use IONM for some or all of their cases. Sixty percent (n = 25) of respondents always use IONM during thyroid surgery, 36 % (n = 15) use it selectively, and 5 % (n = 2) never use it. We compared respondents who always use IONM (n = 25), to those who selectively or never use it (n = 17). Exposure to IONM during residency or fellowship did not influence use (p = 0.99). However, higher-volume surgeons w...Continue Reading

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Citations

Jul 31, 2019·The Laryngoscope·Allen L FengGregory W Randolph
Aug 3, 2019·The Laryngoscope·Geir Olav DahleKatrin Brauckhoff
Nov 9, 2019·Langenbeck's Archives of Surgery·Oliver GimmMarco Raffaelli
Nov 8, 2016·Advances in Medicine·Emin Gurleyik, Gunay Gurleyik
Jun 4, 2017·Oral and Maxillofacial Surgery·Sameep KadakiaYadranko Ducic
Jan 1, 2020·Laryngoscope Investigative Otolaryngology·Nobuyoshi TsuzukiKaoru Ogawa
Oct 22, 2016·World Journal of Surgery·Angkoon AnuwongGianlorenzo Dionigi
May 19, 2021·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Joseph ScharpfGregory W Randolph

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