Intraoperative neuromonitoring vs visual nerve identification only during thyroidectomy: Transient RILN palsy (nerves) Definition: injury detected clinically, by laryngoscopy or both, in which the motility of the vocal cords recovered within 6 months after surgery
It is very uncertain whether intraoperative neuromonitoring changes transient RILN palsy (nerves) Definition: injury detected… compared with visual nerve identification only during thyroidectomy (very low certainty).
What each review found
Include earlier review versions| Finding | Effect | Studies | GRADE certainty |
|---|---|---|---|
Intraoperative neuromonitoring vs visual nerve identification only during thyroidectomy Transient RILN palsy (nerves) Definition: injury detected clinically, by laryngoscopy or both, in which the motility of the vocal cords recovered within 6 months after surgery It is very uncertain whether intraoperative neuromonitoring changes transient RILN palsy (nerves) Definition: injury detected… compared with visual nerve identification only during thyroidectomy (very low certainty). Intraoperative neuromonitoring versus visual nerve identification for prevention of recurrent laryngeal… (2019) · Cochrane Headline outcomes only | RR 0.62 [0.35, 1.08] | 4 studies · 2895 participants | Very low |
Findings are shown side by side, never pooled across reviews.
The reviews
| Review | Searched up to | Included studies | AMSTAR 2 |
|---|---|---|---|
| Intraoperative neuromonitoring versus visual nerve identification for prevention of recurrent laryngeal nerve injury in adults undergoing… 2019 · Cochrane Headline outcomes only | Not reported | list not extracted yet | Not assessed |
Studies behind the findings
None of these reviews ties its included studies to this outcome in the data here. Cochrane reviews and reviews with headline outcomes only do not list their studies yet.
How reviews are matched to this question
Reviews word the same question differently. Four decision models (TypeSafe's Jev, Liquid AI's d1-ultra, SubQ Snap and Baseten's Elephant) judged each wording of the population, intervention, comparator and outcome against the others; two wordings count as the same when at least three of them agree and none clearly disagrees, and findings count as this question only when all four elements match. Timing, setting and subgroup never split a question: they are shown on each finding.