Recurrent laryngeal nerves are two very small structures that are in intimate contact with the thyroid gland. These nerves are responsible for the integrity of the voice. One of the recognized complications of thyroid surgery is postoperative dysphonia (hoarseness and decreased intensity / quality of voice). Similarly, there are two other structures near the upper pole of the thyroid, called external branches of the superior laryngeal nerves. Damage to these branches results in the inability to reach high tones, swallowing disorders, and a voice that diminishes in quality with use. While it is true that the experience and care that the surgeon gives during the operations is an irreplaceable preservation instrument, at Endobalance we are committed to excellence. For this reason, we use all the resources within our reach to provide our patients with the best care and the best possible results.

Intraoperative neuromonitoring is a valuable technological resource that is used as an aid in locating and preserving the integrity of the nerves already described. This is achieved by placing a sensor that remains between the vocal cords for the emission of information towards a module that in turn shows the representation of an electrical conduction curve with amplitude and frequency that allows us to demonstrate the identity of the nerve and its proper functioning. Although it is not a foolproof technology, intraoperative neuromonitoring has shown through serious, high-volume studies:

1. Increase the rate of identification of recurrent laryngeal nerves
2. Decrease the risk of recurrent laryngeal nerve injury
3. Increase the safety of total thyroidectomy selection
4. Helps make thyroid tissue resection more complete

Wajtczak B. et al. Experience with intraoperative neuromonitoring of the recurrent laryngeal nerve improves surgical skills and outcomes of non-monitored thyroidectomy. Langenbecks Arch Surg. 2017; 402(4): 709-717.