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Intra-Operative Neural Monitoring of Thyroid Surgery in a Porcine Model
Published on: February 11, 2019
21.3K
Current Knowledge on the Use of Neuromonitoring in Thyroid Surgery
Beata Wojtczak1, Karolina Sutkowska-Stępień1, Mateusz Głód2
1Department of General, Minimally Invasive and Endocrine Surgery, Wroclaw Medical University, Borowska Street 213, 50-556 Wroclaw, Poland.
Biomedicines
|March 28, 2024
Summary
Thyroid surgery has increased, leading to more potential nerve complications. Neural monitoring (IONM) is now standard, improving patient outcomes by assessing laryngeal nerve function during thyroidectomy.
Area of Science:
- Endocrinology
- Surgical Oncology
- Neurosurgery
Background:
- Thyroid surgery rates have tripled in 30 years, making it a common general surgery procedure.
- Postoperative complications like recurrent laryngeal nerve (RLN) palsy and external branch of the superior laryngeal nerve (EBSLN) palsy significantly impact patient quality of life.
- These complications, along with hypoparathyroidism and bleeding, are frequent after thyroidectomy.
Purpose of the Study:
- To present the current status of intraoperative neural monitoring (IONM) in thyroid surgery.
- To highlight the benefits and standardization of IONM techniques.
- To discuss the impact of IONM on managing laryngeal nerve integrity during thyroidectomy.
Main Methods:
- Standardization of RLN and EBSLN monitoring techniques by the International Neural Monitoring Study Group.
- Increased prevalence of IONM during thyroidectomy procedures.
- Assessment of anatomical integrity and laryngeal nerve function using IONM.
Main Results:
- IONM has become a crucial tool in modern thyroid surgery.
- Standardized IONM protocols have enhanced surgical safety.
- The introduction of IONM marked a significant advancement in thyroid surgery.
Conclusions:
- IONM is essential for minimizing nerve-related complications in thyroid surgery.
- The widespread adoption of standardized IONM techniques has improved surgical outcomes.
- This publication reviews the current landscape and advantages of IONM in thyroidectomy.
