Intraoperative Monitoring of the Recurrent Laryngeal Nerve during Thyroidectomy: A Standardized Approach Part 2

Author:

Dralle Henning,Sitges-Serra Antonio,Angelos Peter,Poveda Manuel C Durán,Dionigi Gianlorenzo,Barczynski Marcin,Phelan Eimear,Randolph Gregory

Abstract

ABSTRACT This is the second of two articles on intraoperative neural monitoring. The aim of part one was to provide a concise overview of intraoperative nerve monitoring in thyroid surgery and its effectiveness. Part 1 included a brief review of the surgical anatomy of the recurrent laryngeal nerve and described the surgical landmarks which can be used to identify the nerve during surgery. Part 2 will describe in detail a standardized approach to intraoperative nerve monitoring during thyroid surgery. A brief review of the nerve monitoring procedure and all its requirements will be discussed. The article concludes with the description of a troubleshooting algorithm for intraoperative loss of signal. How to cite this article Poveda MCD, Dionigi G, Sitges- Serra A, Barczynski M, Angelos P, Dralle H, Phelan E, Randolph G. Intraoperative Monitoring of the Recurrent Laryngeal Nerve during Thyroidectomy: A Standardized Approach Part 2. World J Endocr Surg 2012;4(1):33-40.

Publisher

Jaypee Brothers Medical Publishing

Subject

Radiology Nuclear Medicine and imaging,Endocrinology, Diabetes and Metabolism,Surgery

Reference36 articles.

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3. Goldstone AC, Schettino RL. The electrode endotracheal tube: A state of the art method for monitoring recurrent laryngeal nerve integrity vocal cord muscle in the intubated patient. Otolaryngol Head N Surg 1990;103:249-53.

4. Optimal Depth of NIM EMG Endotracheal Tube for Intraoperative Neuromonitoring of the Recurrent Laryngeal Nerve During Thyroidectomy

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