Drawbacks of neural monitoring troubleshooting algorithms in transoral endoscopic thyroidectomy
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Zhang, Daqi | - |
dc.contributor.author | Wu, Che-Wei | - |
dc.contributor.author | Wang, Tie | - |
dc.contributor.author | Zhao, Yishen | - |
dc.contributor.author | Kim, Hoon Yub | - |
dc.contributor.author | Pino, Antonella | - |
dc.contributor.author | Dionigi, Gianlorenzo | - |
dc.contributor.author | Sun, Hui | - |
dc.date.accessioned | 2022-03-15T03:41:45Z | - |
dc.date.available | 2022-03-15T03:41:45Z | - |
dc.date.created | 2022-03-14 | - |
dc.date.issued | 2021-11 | - |
dc.identifier.issn | 1435-2443 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/139022 | - |
dc.description.abstract | Introduction The application of intraoperative neural monitoring (IONM) trouble-shooting algorithms procedures in transoral endoscopic thyroidectomy vestibular approach (TOETVA) was investigated. Methods Loss of signal (LOS) is defined as a loss of the primary electromyographic (EMG) normal biphasic waveform with reduced amplitude response to less than 100 mu V with a stimulation level intensity of 1-2mA. A systematic review of the IONM system at LOS was covered methodically: (i) correct endotracheal tube verification, (ii) stimulation of the recurrent laryngeal nerve (RLN) at entry point, (iii) ipsilateral or contralateral vagal nerve (VN) stimulation, and (iv) laryngeal twitch (LT). Results The function of 223 nerves at risk (NAR) was recorded with IONM. Twenty-seven (12%) NAR experienced a suspected LOS. LT could not be appreciated. In 15/27 (55%) cases, the application of the IONM trouble-shooting algorithm revealed upward displacement of the EMG tube (all orotracheal intubations). In 9 (4%) NAR, VN stimulation was not accomplished. In detail, there were n.5 left and n. 4 right VNs. Two VNs were ipsilateral, and 7 VNs contralateral. For EMG tube displacement, because the oral/nasal area is included in the aseptic field, it is less possible to re-check by the laryngoscope or fiberscope. Conclusions A limit for applying the IONM trouble-shooting algorithm to TOETVA is determined by (a) inability to appreciate the LT, (b) difficulty in stimulating the ipsilateral and contralateral VN, and (c) remodeling EMG endotracheal tube position. A modified IONM trouble-shooting algorithm for TOETVA is proposed. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | SPRINGER | - |
dc.subject | RECURRENT LARYNGEAL NERVE | - |
dc.subject | VESTIBULAR APPROACH | - |
dc.subject | ENDOTRACHEAL-TUBE | - |
dc.subject | SURGERY | - |
dc.title | Drawbacks of neural monitoring troubleshooting algorithms in transoral endoscopic thyroidectomy | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Kim, Hoon Yub | - |
dc.identifier.doi | 10.1007/s00423-021-02217-6 | - |
dc.identifier.scopusid | 2-s2.0-85110055080 | - |
dc.identifier.wosid | 000673908000001 | - |
dc.identifier.bibliographicCitation | LANGENBECKS ARCHIVES OF SURGERY, v.406, no.7, pp.2433 - 2440 | - |
dc.relation.isPartOf | LANGENBECKS ARCHIVES OF SURGERY | - |
dc.citation.title | LANGENBECKS ARCHIVES OF SURGERY | - |
dc.citation.volume | 406 | - |
dc.citation.number | 7 | - |
dc.citation.startPage | 2433 | - |
dc.citation.endPage | 2440 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Surgery | - |
dc.relation.journalWebOfScienceCategory | Surgery | - |
dc.subject.keywordPlus | ENDOTRACHEAL-TUBE | - |
dc.subject.keywordPlus | RECURRENT LARYNGEAL NERVE | - |
dc.subject.keywordPlus | SURGERY | - |
dc.subject.keywordPlus | VESTIBULAR APPROACH | - |
dc.subject.keywordAuthor | Morbidity | - |
dc.subject.keywordAuthor | Neuromonitoring | - |
dc.subject.keywordAuthor | Recurrent laryngeal nerve | - |
dc.subject.keywordAuthor | TOETVA | - |
dc.subject.keywordAuthor | Transoral endoscopic thyroidectomy vestibular approach | - |
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.
145 Anam-ro, Seongbuk-gu, Seoul, 02841, Korea+82-2-3290-2963
COPYRIGHT © 2021 Korea University. All Rights Reserved.
Certain data included herein are derived from the © Web of Science of Clarivate Analytics. All rights reserved.
You may not copy or re-distribute this material in whole or in part without the prior written consent of Clarivate Analytics.