OBJECTIVES/HYPOTHESIS: During robot-assisted transaxillary thyroidectomy, the @entity1 's arm is maintained in an overhead flexed position for a prolonged time, which poses a risk of postoperative @entity5300 . The aim of the study was to identify the causes of @entity5300 and to assess the benefit of intraoperative neurophysiological monitoring (IONM) in preventing positional @entity5300 in this setting. STUDY DESIGN: Retrospective case series. METHODS: The computerized database of a tertiary medical center was searched for all consecutive @entity1 who underwent robot-assisted transaxillary thyroidectomy between 2012 and 2014. Clinical, operative, and outcome parameters were collected from the medical files. Findings were compared between @entity1 operated with and without IONM. RESULTS: The cohort included 30 @entity1 , 14 operated with IONM and 16 without. Three events of impending @entity5300 were detected in the monitored group. The monitored group had significantly better shoulder movement (P = .003), a lower rate of @entity1183 (P = .011), less @entity158 (P = .001) in the early postoperative period than the nonmonitored group and higher quality of life in the early postoperative period (P = .012). The monitored group was significantly younger than the nonmonitored one (P = .02) and had a significantly larger diameter of thyroid nodule than the nonmonitored group (P = .043). CONCLUSIONS: IONM during robot-assisted transaxillary thyroidectomy may improve short-term @entity282 and shoulder movement and longer-term quality of life. LEVEL OF EVIDENCE: 4 Laryngoscope, 126:2187-2193, 2016.

The cause of XXXX in robot-assisted transaxillary thyroidectomy-A neurophysiological investigation.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity1183 :: ('MESH:D006987', 'Disease') :: ['hypoesthesia'] @entity5300 :: ('MESH:D020516', 'Disease') :: ['brachial plexopathy'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity282 :: ('MESH:D010149', 'Disease') :: ['postoperative pain']
@entity5300 :: (MESH:D020516,Disease) :: ['brachial plexopathy']
