Full percutaneous intraoperative neuromonitoring technique in remote thyroid surgery: Porcine model feasibility study
- Authors
- Huang, Tzu-Yen; Lin, Yi-Chu; Tseng, Hsin-Yi; Kim, Hoon Yub; Dionigi, Gianlorenzo; Lu, I-Cheng; Chang, Pi-Ying; Chiang, Feng-Yu; Wu, Che-Wei
- Issue Date
- 2월-2021
- Publisher
- WILEY
- Keywords
- full percutaneous approach; intraoperative neuromonitoring; long-needle electrodes; porcine model; remote thyroidectomy
- Citation
- HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK, v.43, no.2, pp.505 - 513
- Indexed
- SCIE
SCOPUS
- Journal Title
- HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK
- Volume
- 43
- Number
- 2
- Start Page
- 505
- End Page
- 513
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/49701
- DOI
- 10.1002/hed.26500
- ISSN
- 1043-3074
- Abstract
- Background In remote thyroid surgery, a reliable intraoperative neuromonitoring (IONM) procedure is an important tool for reducing injury to recurrent laryngeal nerve (RLN). This study proposes an alternative or adjunct technique for performing full percutaneous (PC) IONM and confirms its feasibility in animal experiments. Methods This prospective porcine model study enrolled four piglets with eight nerve sides. Evoked electromyography (EMG) was stimulated from PC ball-tip probe, and recorded from EMG endotracheal tube (ETT) and from PC paired long-needle electrodes on the perichondrium of the lateral aspect of thyroid cartilage. Results In all RLNs and vagus nerves, typical laryngeal EMG waveforms were successfully evoked by PC probe stimulation and recorded by both ETT and PC needle electrodes. Conclusions This study confirms the feasibility of the full PC IONM techniques in porcine model. However, further clinical studies are needed to compare the practicality of different remote-access approaches for thyroid surgery.
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Collections - College of Medicine > Department of Medical Science > 1. Journal Articles
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