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01-03-2022 | Review Article

Seeing Is Not Believing: Intraoperative Nerve Monitoring (IONM) in the Thyroid Surgery

Authors: Anuja Deshmukh, Anand Ebin Thomas, Harsh Dhar, Parthiban Velayutham, Gouri Pantvaidya, Prathamesh Pai, Devendra Chaukar

Published in: Indian Journal of Surgical Oncology | Issue 1/2022

Abstract

Ensuring the integrity of the recurrent laryngeal nerve (RLN), the external branch of superior laryngeal nerve (EBSLN) and preservation of normal voice are the prime ‘functional’ goals of thyroid surgery. More in-depth knowledge of neuronal mechanisms has revealed that anatomical integrity does not always translate into functional integrity. Despite meticulous dissection, neural injuries are not always predictable or visually evident. Intraoperative nerve monitoring (IONM) is designed to aid in nerve identification and early detection of functional impairment. With the evolution of technique, intermittent monitoring has given way to continuous-IONM. Over the years, IONM gathered both support and flak. Despite numerous randomised studies, systematic reviews, and meta-analyses, there still prevails a state of clinical equipoise concerning the utility of IONM and its cost-effectiveness. This article inspects the true usefulness of IONM, elaborates on the optimal way to practice it, and presents a critical literature review.

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Title: Seeing Is Not Believing: Intraoperative Nerve Monitoring (IONM) in the Thyroid Surgery
Authors: Anuja Deshmukh
Anand Ebin Thomas
Harsh Dhar
Parthiban Velayutham
Gouri Pantvaidya
Prathamesh Pai
Devendra Chaukar
Publication date: 01-03-2022
Publisher: Springer India
Published in: Indian Journal of Surgical Oncology / Issue 1/2022
Print ISSN: 0975-7651
Electronic ISSN: 0976-6952
DOI: https://doi.org/10.1007/s13193-021-01348-y

At a glance: The STEP trials

Springer Medicine

Seeing Is Not Believing: Intraoperative Nerve Monitoring (IONM) in the Thyroid Surgery

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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