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Langenbeck's Archives of Surgery

Published in:

01-02-2014 | Review Article

Intraoperative neural monitoring in thyroid cancer surgery

Authors: Gregory W. Randolph, Dipti Kamani

Published in: Langenbeck's Archives of Surgery | Issue 2/2014

Abstract

Background

Intraoperative neural monitoring (IONM) has increasingly garnered the attention of the surgeons performing thyroid and parathyroid surgery around the world. Current studies suggest a majority of general and head and neck surgeons utilize neural monitoring in their thyroid surgical case load in both the US and Germany.

Purpose

We aim to present an up-to-date review of the application of IONM specifically focusing on its utility in thyroid cancer surgery. Neural monitoring is discussed particularly as it relates to neural prognosis, the issues of staged thyroid surgery for thyroid cancer, and new horizons in the monitoring of the superior laryngeal nerve (SLN) and prevention of neural injury through continuous vagal neural monitoring.

Conclusion

IONM, as it relates to thyroid surgery, has obtained a widespread acceptance as an adjunct to the gold standard of visual nerve identification. The value of IONM in prognosticating neural function and in intraoperative decision making regarding proceeding to bilateral surgery is also well-known. Initial data on recent extensions of IONM in the form of SLN monitoring and continuous vagal nerve monitoring are promising. Continuous vagal nerve monitoring expands the utility of IONM by providing real-time electrophysiological information, allowing surgeons to take a corrective action in impending neural injury.

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Title: Intraoperative neural monitoring in thyroid cancer surgery
Authors: Gregory W. Randolph
Dipti Kamani
Publication date: 01-02-2014
Publisher: Springer Berlin Heidelberg
Published in: Langenbeck's Archives of Surgery / Issue 2/2014
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI: https://doi.org/10.1007/s00423-013-1141-y

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Intraoperative neural monitoring in thyroid cancer surgery

Abstract

Background

Purpose

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Purpose

Conclusion

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