Routine use or selective use of the Intraoperative neuromonitoring during thyroidectomy

• 영문명: Routine use or selective use of the Intraoperative neuromonitoring during thyroidectomy
• 발행기관: 대한신경모니터링학회
• 저자명: Dong Kun Lee
• 간행물 정보: 『Journal of Neuromonitoring & Neurophysiology』Vol.3 No.2, 89~93쪽, 전체 5쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2023.11.30

영문 초록

Intraoperative neuromonitoring (IONM) has become a widely utilized technique in thyroid surgery, While the routine identification of the recurrent laryngeal nerve has improved the safety of thyroidectomy, recurrent laryngeal nerve palsy remains an important complication. Some studies have shown promising results with IONM, demonstrating a lower incidence of nerve palsy compared to traditional visualization. However, the overall impact of IONM remains debated, as not all studies confirm its efficacy, especially in redo thyroid surgery. The use of IONM offers benefits in identifying and preserving the external branch of the superior laryngeal nerve, especially in cases of multinodular goiters. The decision to employ IONM should be individualized based on the surgeon's experience and the patient's clinical situation. However, its routine use is not universally supported, and its advantages may be more pronounced in specific high-risk patients and low volume surgeons.

목차

Introduction

Role of IONM in Reducing RLN Injury Rate

Rationale for Routine Use of IONM

Conclusion

Acknowledgments

Funding

Conflict of Interest

ORCID

References

키워드

Intraoperative neuromonitoring Thyroidectomy Recurrent laryngeal nerve Thyroid cancer