[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100633915":3},{"organization":4,"armGroups":7,"interventions":19,"overallOfficials":25,"centralContacts":25,"locations":25,"responsibleParty":26,"collaborators":30,"id":34,"slug":35,"hasResults":36,"nctId":37,"briefTitle":38,"officialTitle":39,"acronym":25,"eligibilityCriteria":40,"healthyVolunteers":36,"sex":41,"minAge":42,"maxAge":25,"enrollmentInfo":43,"targetDuration":25,"studyType":46,"phases":47,"briefSummary":49,"conditions":50,"keywords":52,"overallStatus":56,"whyStopped":25,"lastUpdateSubmitDate":57,"lastUpdatePostDateStruct":58,"startDateStruct":61,"completionDateStruct":63,"leadSponsor":65,"locationsCount":25},{"fullName":5,"class":6},"University of British Columbia","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Medial Approach","EXPERIMENTAL","Following the division of the isthmus, the edge on the resection side is grasped with Babcock forceps, placing it on lateral traction. The thyroid gland is then separated from the cricothyroid muscle and the trachea medially, leaving the berry's suspensory ligament adjacent to the first tracheal ring intact. The avascular space between the superior pole and the cricothyroid muscle is open. Finally, in the most critical step, the berry's ligament lateral to the first tracheal ring is placed on differential traction using two retractors - facilitating careful identification of the RLN as it courses under the superior edge of the berry's ligament - entering the larynx beneath the cricopharyngeus muscle. The RLN is identified at its most distal and consistent location as it enters the larynx.",[13],"Procedure: Approach to RLN during Thyroidectomy",{"label":15,"type":16,"description":17,"interventionNames":18},"Lateral Approach","ACTIVE_COMPARATOR","In the lateral approach group, the superior thyroid pedicle is mobilized and ligated, followed by medial rotation of the thyroid gland with division of the middle thyroid vein. Then, the RLN is identified in between the tubercle of Zuckerkandl and the cricothyroid joint. Berry's suspensory ligament is then divided. The thyroid lobe will then be completely dissected from the trachea as the final step in lobectomy.",[13],[20],{"type":21,"name":22,"description":23,"armGroupLabels":24,"otherNames":25},"PROCEDURE","Approach to RLN during Thyroidectomy","Medial vs Lateral Approach to RLN during thyroidectomy",[15,9],null,{"type":27,"investigatorFullName":28,"investigatorTitle":29,"investigatorAffiliation":5,"oldNameTitle":25,"oldOrganization":25},"SPONSOR_INVESTIGATOR","Oleksandr Butskiy","Clinical Assistant Professor",[31],{"name":32,"class":33},"Inomed","UNKNOWN","100633915","comparing-medial-and-lateral-dissection-approaches-to-the-recurrent-laryngeal-nerve-during-a-thyroidectomy-100633915",false,"NCT07532889","Comparing Medial and Lateral Dissection Approaches to the Recurrent Laryngeal Nerve During a Thyroidectomy","The Use of Continuous Nerve Monitoring to Compare Rates of Recurrent Laryngeal Nerve Injury Between Medial and Lateral Dissection Approaches to the Recurrent Laryngeal Nerve During a Thyroidectomy: A Prospective Randomized Controlled Trial","Inclusion Criteria:\n\n* All patients undergoing a total thyroidectomy or hemithyroidectomy under the care of the participating surgeons\n\nExclusion Criteria:\n\n* Age less than 19 years old\n* Previous thyroid or parathyroid surgery, substernal goiter, preoperative vocal cord palsy (VCP)\n* Evidence of lateral or central neck lymph node metastases\n* Intentional iatrogenic transection of the RLN due to tumor invasion\n* Failure to assess real-time RLN functioning due to equipment issues with the IONM setup\n* Presurgical dissection amplitude under 100uV\n* Patient refusal to participate in the study\n* Intraoperative decision to switch to a different approach to identifying the RLN","ALL","19 Years",{"count":44,"type":45},430,"ESTIMATED","INTERVENTIONAL",[48],"NA","The goal of this interventional study is to compare the effectiveness of two surgical approaches in identifying the recurrent laryngeal nerve (RLN) during thyroidectomy. The main questions it aims to answer are:\n\nHow does each approach affect the length of hospital stay? How does each approach affect the number of adverse events that occur during surgery? How does each approach affect vocal cord function after surgery?\n\nResearchers will compare the new medial approach to the standard lateral approach to evaluate its effectiveness.\n\nParticipants scheduled to undergo thyroidectomy surgery will be randomly assigned to one of these approaches after informed consent is obtained. Data will be collected during and after the surgery by a research assistant.",[51],"Thyroidectomy",[51,53,54,55],"Medial Approach to Thyroidectomy","Lateral Approach to Thyroidectomy","Continuous Nerve Monitoring","NOT_YET_RECRUITING","2026-04-15",{"date":59,"type":60},"2026-04-21","ACTUAL",{"date":62,"type":45},"2026-05",{"date":64,"type":45},"2028-12",{"name":28,"class":6}]