Do surgeons really know how to perform neuromonitoring in thyroid surgery? An awareness study
Ioannis Pliakos1, Theodosios S Papavramidis1
11 Propedeutic Department of Surgery, AHEPA University Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Gland Surgery
|February 26, 2021
Summary
Endocrine surgeons recognize the benefits of intraoperative neuromonitoring (IONM) for thyroid surgery, including nerve identification and functionality monitoring. Further evidence is needed to define optimal indications for IONM use.
Area of Science:
- Endocrine Surgery
- Neurosurgery
- Surgical Innovation
Background:
- Awareness of intraoperative neuromonitoring (IONM) is crucial for endocrine surgeons performing thyroidectomies.
- Thyroid surgery presents unique challenges for laryngeal nerve preservation.
Purpose of the Study:
- To assess the awareness and perceptions of endocrine surgeons regarding IONM in thyroid surgery.
- To understand the perceived benefits and limitations of IONM among surgical professionals.
Main Methods:
- A questionnaire-based observational study was conducted at the 14th Spring Meeting of the Greek Society of Endocrine Surgeons (GSES).
- A 14-item questionnaire was administered to eligible surgeons during an IONM session.
- Data were collected from 59 surgeons (71.08% response rate).
Main Results:
- The majority of surveyed surgeons acknowledged the advantages of IONM, such as improved laryngeal nerve identification and functional monitoring.
- Participants highlighted enhanced patient confidence as a perceived benefit of IONM.
- The study involved 59 surgeons, comprising both GSES members and non-members.
Conclusions:
- Endocrine surgeons perceive significant benefits from IONM in thyroid surgery.
- Conventional nerve identification techniques should not be disregarded, as IONM may not always be accessible.
- Further research is required to establish clear indications for the application of IONM in thyroid procedures.
