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Table 2 Re-exploration of the recurrent laryngeal nerve (RLN) with and without intraoperative neuromonitoring (IONM)

From: Protective effect of intraoperative nerve monitoring against recurrent laryngeal nerve injury during re-exploration of the thyroid

 

With IONM

Without IONM

Total patients (n)

56

15

Previous cervical exploration (n)

1.25

1.4

Total nerve re-exploration (n)

70

15

Male:Female ratio

8:48

4:11

Age (years)

22.8-80.5

29.7-85.0

Pathology

  

Papillary cancer

23

12

Medullary cancer

1

 

Follicular cancer

 

2

Nodular goiter

20

1

Graves’ disease

12

 

Hyperparathyroidism

1

 

Indication of reoperation

  

Malignancy

  

Thyroid bed recurrence

8

5

Lymph node recurrence

10

7

Completion thyroidectomy

11

2

Benign

  

Recurrent Graves’ disease

4

 

Airway compression

7

1

Suspect malignant

16

 

Recurrent hyperparathyroidism

1

 

Procedure

  

Total thyroidectomy + LN dissection = > Excision:

9

9

Total thyroidectomy = > LN dissection:

2

3

Total thyroidectomy = > LN dissection + excision

1

 

Total thyroidectomy + LN dissection = > Laryngectomy

1

 

Total + subtotal thyroidectomy = > Completion thyroidectomy:

17

2

Total + subtotal thyroidectomy = > LN dissection

1

 

Total thyroidectomy + LN dissection = > LN dissection

1

 

Subtotal thyroidectomy + Trachea resection = > Completion thyroidectomy

1

 

Subtotal thyroidectomy = > Lobectomy:

3

1

Bilateral subtotal thyroidectomy = > Lobectomy

10

 

Bilateral subtotal thyroidectomy = > total thyroidectomy

2

 

Bilateral subtotal thyroidectomy = > total + subtotal thyroidectomy

1

 

Bilateral subtotal thyroidectomy = > Excision

1

 

Parathyroidectomy = > Excision

1

0

  1. LN, Lymph node.