Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation Nerve integrity monitoring (NIM) systems (Medtronic Inc.) for intraoperative monitoring of motor nerve function during thyroidectomy. Lansdale: HAYES, Inc.. Healthcare Technology Brief Publication. 2012 Authors' conclusions Abnormalities of the thyroid are extremely common, affecting approximately 12% of the general population and resulting in over 61,000 thyroidectomies in the United States annually. Injury to the recurrent laryngeal nerve (RLN) resulting in vocal cord paralysis occurs in approximately 1.4% of cases and ranks among the leading causes for medicolegal litigation following thyroid surgery. Additionally, trauma to the RLN can lead to persistent airway obstruction and difficulty in swallowing, which can greatly impair quality of life and functioning. Although visual nerve
identification via meticulous surgical technique is the standard of care for protecting the RLN, traditional methods are often encumbered by anatomical variations, the presence of malignant neoplasms, reoperative procedures, and complex surgical presentations. Accordingly, various medical devices have been developed over the past decade in order to assist in identifying, monitoring, and assessing the integrity of the RLN during thyroid surgery. Indexing Status Subject indexing assigned by CRD MeSH Humans; Monitoring, Intraoperative; Motor Neurons; Thyroidectomy Language Published English Country of organisation United States English summary An English language summary is available. Address for correspondence HAYES, Inc., 157 S. Broad Street, Suite 200, Lansdale, PA 19446, USA. Tel: 215 855 0615; Fax: 215 855 5218 Email: hayesinfo@hayesinc.com AccessionNumber 32013000232 Date abstract record published 08/04/2013 |