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The influence of high-quality visualization of the external branch of the superior laryngeal nerve during thyroid surgery using neuromonitoring on the immediate and long-term results of treatment

The problem of preserving, identifying and evaluating the functionality of the external branch of the superior laryngeal nerve is relevant today. Damage to the external branch of the superior laryngeal nerve can affect the quality of life of patients, their social status in society, and work activity. The use of neuromonitoring during thyroid surgery is currently widespread only in relation to the recurrent laryngeal nerve. The external branch of the superior laryngeal nerve is usually neglected due to many reasons: variant anatomy of the nerve, small size of the nerve, lack of a neuromonitor as a tool for its identification, and lack of surgeon skill in working with a neuromonitor. The use of neuromonitoring to ensure the integrity of not only the recurrent laryngeal nerve, but also the external branch of the superior laryngeal nerve in most cases avoids intraoperative damage to this important structure for the patient.

DOI: 10.52575/2687-0940-2022-45-2-217-232
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