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Future Directions of Neural Monitoring in Thyroid SurgeryFuture Directions of Neural Monitoring in Thyroid Surgery

Other Titles
Future Directions of Neural Monitoring in Thyroid Surgery
Authors
김훈엽Xiaoli LiuChe-Wei Wu채영준Gianlorenzo Dionigi
Issue Date
2017
Publisher
대한갑상선-내분비외과학회
Keywords
Thyroid gland; Recurrent laryngeal nerve; Intraoperative neurophysiological monitoring; Endoscopic; Thyroidectomy; Standards
Citation
The Journal of Endocrine Surgery, v.17, no.3, pp.96 - 103
Indexed
KCI
Journal Title
The Journal of Endocrine Surgery
Volume
17
Number
3
Start Page
96
End Page
103
URI
https://scholar.korea.ac.kr/handle/2021.sw.korea/85196
ISSN
2508-8149
Abstract
Dissecting and identifying the recurrent laryngeal nerve (RLN) are considered routine procedures now that safe and effective methods have been established. Preventing RLN injury during thyroid surgery requires good visualization and exposure of the RLN, adequate knowledge of RLN anatomy, adequate surgical experience and training, and pre- and post-operative laryngoscopy. Whereas these requirements are widely accepted for routine thyroid surgery, new technical developments have emerged in the past 15 years. Literature show that both intermittent intraoperative neural monitoring (I-IONM) and continuous IONM (C-IONM) are recognized as effective techniques for RLN. The aim of this paper is to discuss advantages, limits and possible future directions for use of IONM and C-IONM in thyroid and parathyroid surgery.
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