• Murat Akici, Murat Cilekar, Sezgin Yilmaz, and Yuksel Arikan.
• Dr. Murat Akici, Department of General Surgery, Afyonkarahisar Health Sciences University, Afyon, Turkey.
• Pak J Med Sci. 2020 Jan 1; 36 (2): 276-280.

ObjectiveThis study presents the effects of intraoperative nerve monitoring on RLN injuries in patients who underwent primary surgery for benign thyroid pathology.MethodsWe retrospectively evaluated the data of 273 patients who had primary thyroidectomy due to benign thyroid pathology between January 2012 and July 2017. The patients were classified into two groups. Group-1 consists of patients whose nerves were monitored. We separated the patients whose nerves were not monitored into Group-2.ResultsThere were 140 and 133 patients in Groups 1 and 2, respectively. Regarding the age, gender and surgical indication between the groups, statistically significant difference was not found (P > 0.05). In Group-1, transient paralysis developed in four patients (2.9%). The permanent paralysis developed in one patient (0.7%). In Group-2, transient paralysis developed in nine patients (6.8%). The permanent paralysis developed in four patients (3%). When the groups were evaluated, there was statistically significant difference in terms of transient and permanent paralysis (P=0.01, P =0.001, respectively).ConclusionsIn view of the negative effects of RLN injury on the patient, we think that intraoperative nerve monitoring should be used routinely in benign thyroid surgeries.Copyright: © Pakistan Journal of Medical Sciences.

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