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anesteziologa. Takođe, ovaj metod se pokazao do 20 puta dovesti do nastanka hematoma, sklonije su oštećenju i nisu
ekonomičniji u odnosu na klasični. Mane ovog vida IONM praktične prilikom operacija velikih struma.
jesu u tome što je plasiranje elektroda invazivnije i može

Zaključak

Iako podaci iz literature i dalje u potpunosti ne idu u prilog upotrebi IONM, većina svjetskih centara
je do danas uvrstila upotrebu IONM u svoju svakodnevnu praksu prilikom operacija štitaste žlijezde.
Prednosti IONM se ogledaju prevashodno u olakšanju identifikacije, a samim tim i izbjegavanju
nastanka povrede RLN, pogotovo kod rizičnih tiroidektomija, kao i procjeni funkcionalnog integriteta

nerva, što je od ključnog značaja za bezbjednost pacijenta, kao i donošenje odluke o daljem toku
hirurškog liječenja.

Abstract

Recurrent laryngeal nerve (RLN) injuries are one of the most significant complications in thyroid gland surgery. Visual
identification of RLN is a part of every thyroid gland operation. In the last two decades Intraoperative neuromonitoring
(IONM) has become widely accepted and standard practice in many large workflow centres. IONM helps to facilitate the
identification and provides useful information about functional integrity of RLN therefore helping reduce incidence of RLN
injuries.

Keywords: thyroid surgery, intraoperative neuromonitoring, injury, recurrent laryngeal nerve

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84 DOI: 10.5937/Galmed2410081Z