갑상선 수술 시 근전도튜브를 이용한 신경모니터링

• 영문명: EMG tube based Intraoperative neuromonitoring in thyroid surgery
• 발행기관: 대한신경모니터링학회
• 저자명: 박다희(Dahee Park) 성의숙(Eui-Suk Sung)
• 간행물 정보: 『Journal of Neuromonitoring & Neurophysiology』Vol.2 No.2, 25~29쪽, 전체 5쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2022.11.30

영문 초록

Thyroid surgery can cause many complications, but recurrent laryngeal nerve palsy is the most important. Therefore, many efforts have been tried to avoid recurrent laryngeal nerve palsy. Among them, intraoperative neuromonitoring (IONM) is one of the useful tools to find nerves and avoid nerve palsy during surgery. There are various methods, but the method of directly monitoring the movement of the vocal cords using an electromyography tube was introduced first. After that, a method of increasing the signal accuracy by using a pressure sensor and an accelerometer sensor was also introduced. In addition, a needle is directly pierced into the thyroid cartilage or an electrical signal is measured by attaching a sensor to the skin in front of the thyroid cartilage. Various methods of IONM are being tried and studied, and efforts to help find nerves through IONM are continuing. It is expected that overall surgical complications will be reduced by preserving nerves, avoiding changes in voice and swallowing disorders, and reducing the need for tracheostomy due to bilateral vocal cord palsy.

목차

서론

근전도 튜브를 활용한 신경 모니터링(IONM : EMG tube)

근전도 튜브를 활용한 신경 모니터링 중 신호소실 (loss of signal, LOS)

Pressure sensor 와 Accelerometer sensor를 활용한 신호소실 보완

IONM을 위한 다른 방법들 (Needle electrode, skin electrode를 통한 IONM)

결론

Funding

Conflict of Interest

ORCID

References

키워드

Thyroid surgery Intraoperative neuromonitoring Recurrent laryngeal nerve