Continuous intraoperative neuromonitoring in thyroid surgery: Safety analysis of 400 consecutive electrode probe placements with standardized procedures
- Authors
- Mangano, Alberto; Kim, Hoon Yub; Wu, Chei-Wei; Rausei, Stefano; Hui, Sun; Liu Xiaoli; Chiang, Feng-Yu; Roukos, Dimitrios H.; Lianos, Georgios D.; Volpi, Erivelto; Dionigi, Gianlorenzo
- Issue Date
- 4월-2016
- Publisher
- WILEY-BLACKWELL
- Keywords
- thyroid surgery; continuous intraoperative neuromonitoring; standardized surgical technique; safety; guidelines
- Citation
- HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK, v.38, pp.E1568 - E1574
- Indexed
- SCIE
SCOPUS
- Journal Title
- HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK
- Volume
- 38
- Start Page
- E1568
- End Page
- E1574
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/89148
- DOI
- 10.1002/hed.24280
- ISSN
- 1043-3074
- Abstract
- Background. Continuous intraoperative neuromonitoring (C-IONM) is a new technology and it is appropriate to analyze its safety. Methods. C-IONM was performed according to a standardized technique to control any adverse events and electrode positioning issues. Results. Four hundred vagal nerve dissections were analyzed considering vagal nerve diameter, mean time effort for C-IONM probe positioning, and electrode dislocation rate. A significant superior dislocation rate in case of: (a) when a 3 mm automatic periodic stimulating (APS) electrode size was used in a vagal nerve diameter <2 mm; (b) anterior access; and (c) vagal nerve A subtype in relation (p < .05). No related additional local or systemic morbidity was registered in this series. There was a statistically significant positive relationship between increased diameter of vagal nerve and increased electromyography (EMG) amplitude (p = .03). There was also a significant increase of amplitude between initial and final vagal nerve stimulation in uneventful cases (p = .02). Conclusion. We analyzed the technical issues to achieve improved vagal nerve critical view of safety dissection, stimulation, and C-IONM probe placement. (C) 2015 Wiley Periodicals, Inc.
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Collections - College of Medicine > Department of Medical Science > 1. Journal Articles
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