Precision and protection: advancements and future of neuromonitoring techniques for laryngeal surgery

• 발행기관: 대한신경모니터링학회
• 저자명: Andrew Padalhin
• 간행물 정보: 『Journal of Neuromonitoring & Neurophysiology』Vol.4 No.2, 81~91쪽, 전체 11쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2024.11.30

국문 초록

Intraoperative neuromonitoring (IONM) has improved the safety of laryngeal surgeries by protecting critical nerves such as the recurrent laryngeal nerve and vagus nerve. This review traces the evolution of neuromonitoring from its late 19th-century origins to the modern era, focusing on the transition from intermittent intraoperative neuromonitoring (I-IONM) to continuous intraoperative neuromonitoring (cIONM). Unlike I-IONM, which offers periodic nerve activity snapshots, cIONM provides continuous, real-time feedback throughout surgery, improving nerve injury detection and prevention. Advances in electromyography (EMG) techniques and the laryngeal adductor reflex have been key in this progression. The integration of endotracheal tube-based systems has revolutionized monitoring by providing less invasive and more accurate assessments. The review also explores cIONM's role in minimally invasive surgeries, such as robotic and endoscopic procedures, offering enhanced precision and better patient outcomes. It further discusses recent advancements in EMG techniques and future directions, highlighting the potential for innovations to enhance the precision and safety of laryngeal surgeries.

목차

Introduction

Technical Aspects and Success of cIONM in Laryngeal Surgery

Laryngeal Adductor Reflex cIONM

Vagal Nerve Stimulation in cIONM

Application of Endotracheal Tube-Based Monitoring Systems

Recent Advancements in EMG Techniques and Combined EMG Events for Neuromonitoring in Laryngeal Surgery

Integration of cIONM in Minimally Invasive Surgical Techniques

Challenges and Future Directions and Emerging Technologies for cIONM

Conclusion

Funding

Conflict of Interest

Data Availavility

ORCID

References

키워드

Intraoperative neuromonitoring Recurrent laryngeal nerve Continuous intraoperative neuromonitoring Electromyography