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Intra-Operative Neural Monitoring of Thyroid Surgery in a Porcine Model

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Recurrent Laryngeal Nerve Monitoring: Nuts and Bolts.

Diana N Kirke¹, Catherine F Sinclair²

¹Department of Otolaryngology - Head & Neck Surgery, Icahn School of Medicine at Mount Sinai, One Gustave L Levy Place, Box 1189, Annenberg 10-40, New York, NY 10029, USA.

Otolaryngologic Clinics of North America

|September 8, 2023

Summary

Intraoperative neuromonitoring (IONM) aids neck endocrine surgery by monitoring laryngeal nerves. This review covers IONM subtypes and advances, emphasizing standardized reporting for clearer outcomes.

Keywords:

Continuous intraoperative nerve monitoring Intermittent intraoperative nerve monitoring Intraoperative nerve monitoring Recurrent laryngeal nerve

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Area of Science:

Endocrinology
Neurosurgery
Surgical Technology

Background:

Intraoperative neuromonitoring (IONM) is crucial for laryngeal nerve safety in neck endocrine surgery.
Evidence supporting IONM in these procedures requires comprehensive review.

Purpose of the Study:

To review the current evidence for IONM in neck endocrine procedures.
To discuss various IONM subtypes and recent technological advancements.
To highlight the importance of standardized outcome reporting in IONM.

Main Methods:

Literature review of existing studies on IONM in neck endocrine surgery.
Discussion of intermittent IONM, continuous vagal IONM (vagal-CIONM), and laryngeal adductor reflex CIONM.
Analysis of recent innovations and the impact of standardized reporting.

Main Results:

IONM is an established tool in endocrine neck surgery.
Different IONM techniques offer varied approaches to nerve monitoring.
Standardization is key to clarifying IONM's precise benefits.

Conclusions:

IONM plays a vital role in enhancing safety during neck endocrine operations.
Understanding IONM subtypes and advancements is essential for surgical practice.
Standardized reporting will improve the evaluation of IONM's effectiveness.