Effectiveness of Intraoperative Neuromonitoring of External Branch of Superior Laryngeal Nerve in Thyroid Surgery

Launched by SEOUL NATIONAL UNIVERSITY HOSPITAL · Aug 16, 2023

Keywords

ClinConnect Summary

This clinical trial is studying the use of a special monitoring technique during thyroid surgery to help protect a nerve that is important for voice quality. Many patients experience voice changes after thyroid surgery due to damage to the external branch of the superior laryngeal nerve. The goal of this trial is to see if neuromonitoring can help prevent this nerve damage, ultimately improving patients' quality of life after surgery.

To participate in this study, patients must be scheduled for thyroid surgery and should be able to understand and agree to join the trial. However, certain patients are not eligible, including those with advanced tumors, previous nerve damage, or specific health conditions like hyperthyroidism. If you decide to take part, you can expect to have your nerve function monitored during your surgery, which may help your surgeon make better decisions to protect your voice.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Patients who are scheduled to undergo thyroid surgery
• • Patients who understand and agree to take part in this study
• Exclusion Criteria:
• • If the thyroid tumor is suspected to invade adjacent organs (esophagus, trachea, carotid artery, jugular vein etc.)
• • Patients who are required with lateral compartment neck dissection
• • Patients with recurrent thyroid cancer
• • Patients with palsy of recurrent laryngeal nerve or superior laryngeal nerve external branch in the past or present
• • Patients with a history of vocal cord and larynx disease
• • History of hyperthyroidism (e.g., Graves' disease)
• • Taking anticoagulants (aspirin, warfarin, etc.) before surgery
• • Disorders of coagulation
• • In the case of women, pregnant women and breastfeeding patients
• • Patients judged inappropriate by clinical trial researcher