Neural monitoring in thyroid surgery

Atti della Accademia Peloritana dei Pericolanti - Classe di Scienze Medico-Biologiche

article

Gianlorenzo Dionigi¹  Antonina Catalfamo¹  Fausto Fam๠ Francesca Pia Pergolizzi¹ 

[1] Division for Endocrine and Minimally Invasive Surgery, Department of Human Pathology in Adulthood and Childhood ''G. Barresi'', University Hospital G. Martino, University of Messina

关键词: Neural monitoring;    thyroid surgery;    recurrent laryngeal nerve;    IONM;   

DOI  :  10.6092/1828-6550/APMB.106.1.2018.SD1

学科分类：农业科学（综合）

来源: Accademia Peloritana dei Pericolanti

【 摘 要 】

Numerous operating tools and technology transfers are available for thyroid surgery teams performing open, endoscopic and robotic procedures but none, or very few, of them constitutes a mandatory prerequisite. Over the past decade, the choice of intraoperative neural monitoring (IONM) of the recurrent laryngeal nerve (RLN), has been reached certain consensus. Identification and intraoperative assessment of the RLN seems to be more effectively performed with IONM than solely visually or endoscopically. Today, IONM has evolved sufficiently to increase the likelihood of successful functional outcomes in many patients. The transition from the concept of intermitted neural monitoring of the RLN to that of continuous functions evaluation that must be appreciate requires highly skilled knowledge of IONM. This goal will be more likely achieved in Centers highly specialized in thyroid surgery.

【 授权许可】

CC BY