Clinical Application of Continuous Intraoperative Neuromonitoring during Thyroid Surgery

• 발행기관: 대한신경모니터링학회
• 저자명: Cho Rok Lee Jin Kyong Kim Sang-Wook Kang Jong Ju Jeong Kee-Hyun Nam Woong Youn Chung
• 간행물 정보: 『Journal of Neuromonitoring & Neurophysiology』Vol.2 No.1, 23~31쪽, 전체 9쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2022.05.30

영문 초록

Routine visual identification of the recurrent laryngeal nerve (RLN) is the gold standard of care during thyroidectomy because it is associated with low rates of RLN palsy. Over the last two decades, intraoperative neuromonitoring (IONM), which allows for assessment of the RLN’s functional integrity during the operation, has been widely used for risk minimization in thyroid surgery as a valuable adjunct to visual nerve identification. Currently, one of the most important trends in IONM is the real-time monitoring of the vagus nerve (VN) to prevent iatrogenic injury of RLN. Continuous IONM (C-IONM) seems to be superior to intermittent IONM (I-IONM) because it enhances standardization by permanent VN stimulation and provides entire and constant RLN function monitoring during thyroidectomy procedures. In this article, we provide a comprehensive review of the C-IONM technique.

목차

Introduction

Benefits of C-IONM

Basic requirements for proper C-IONM

VN dissection and electrode placement

Application of C-IONM in thyroid surgery

Interpretation of signals

Clinical studies of C-IONM during thyroidectomy

Limitations of C-IONM

Conclusion

References

키워드

recurrent laryngeal nerve thyroidectomy intraoperative neuromonitoring vagus nerve