Table 2.
Re-exploration of the recurrent laryngeal nerve (RLN) with and without intraoperative neuromonitoring (IONM)
| 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 |
LN, Lymph node.