Cost analysis of intraoperative neural monitoring

Alessandro Pontin, A. Pino, Giulia Pinto, G. Dionigi, E. Caruso
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引用次数: 0

Abstract

The recurrent laryngeal nerve (RLN) injury represents one of the most feared complications during thyroidectomy (1). These injuries may cause a temporary or permanent palsy of the RLN and occur, more frequently, monolaterally. If only one side is involved, the palsy results in voice changes, hoarseness, or breathing trouble; in bilateral cases, instead, patients can undergo a potentially fatal airway obstruction needing an urgent tracheostomy (1). This complication, affects the quality of life of the patients, increases the charges for health care, and is the most frequent plea of lawsuits against thyroid surgeons.
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术中神经监测的成本分析
喉返神经(RLN)损伤是甲状腺切除术中最可怕的并发症之一(1)。这些损伤可引起喉返神经的暂时性或永久性瘫痪,更常发生在单侧。如果只有一侧受累,则会导致声音改变、声音嘶哑或呼吸困难;相反,在双侧病例中,患者可能会经历潜在的致命气道阻塞,需要紧急气管切开术(1)。这种并发症会影响患者的生活质量,增加医疗保健费用,并且是针对甲状腺外科医生的最常见的诉讼请求。
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