Abstract
One of the most important trends in intraoperative neural monitoring (IONM) in thyroid surgery is currently the real-time monitoring of the vagus nerve (VN) in order to prevent recurrent laryngeal nerve (RLN) iatrogenic damages. Notably, continuous intraoperative neuromonitoring (C-IONM) seems to be superior to intermitted intraoperative neural monitoring (I-IONM) because it enhances standardization by permanent vagus nerve (VN) stimulation, and it provides entire and constant RLN function monitoring as the surgeon dissects and removes the thyroid gland. It also has to be highlighted that the surgical maneuvers for the automatic periodic stimulating (APS) placement must be accurate and standardized in order to avoid a potential iatrogenic morbidity on the VN function. We recommend the experienced surgeon be very careful in each step, with cautious dissection. With this review article we provide a comprehensive analyses of C-IONM technique with the APS accessory for conventional and endoscopic thyroid surgery.
| Original language | English |
|---|---|
| Pages (from-to) | 101-114 |
| Number of pages | 14 |
| Journal | Surgical technology international |
| Volume | 26 |
| Publication status | Published - 2015 May 1 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Medicine(all)
Cite this
Continuous Intraoperative Neuromonitoring (C-IONM) Technique with the Automatic Periodic Stimulating (APS) Accessory for Conventional and Endoscopic Thyroid Surgery. / Dionigi, Gianlorenzo; Chiang, Feng Yu; Hui, Sun; Wu, Chei Wei; Xiaoli, Liu; Ferrari, Cesare C arlo; Mangano, Alberto; Lianos, Georgios D.; Leotta, Andrea; Lavazza, Matteo; Frattini, Francesco; Annoni, Matteo; Rausei, Stefano; Boni, Luigi; Kim, Hoon Yub.
In: Surgical technology international, Vol. 26, 01.05.2015, p. 101-114.Research output: Contribution to journal › Review article
}
TY - JOUR
T1 - Continuous Intraoperative Neuromonitoring (C-IONM) Technique with the Automatic Periodic Stimulating (APS) Accessory for Conventional and Endoscopic Thyroid Surgery
AU - Dionigi, Gianlorenzo
AU - Chiang, Feng Yu
AU - Hui, Sun
AU - Wu, Chei Wei
AU - Xiaoli, Liu
AU - Ferrari, Cesare C arlo
AU - Mangano, Alberto
AU - Lianos, Georgios D.
AU - Leotta, Andrea
AU - Lavazza, Matteo
AU - Frattini, Francesco
AU - Annoni, Matteo
AU - Rausei, Stefano
AU - Boni, Luigi
AU - Kim, Hoon Yub
PY - 2015/5/1
Y1 - 2015/5/1
N2 - One of the most important trends in intraoperative neural monitoring (IONM) in thyroid surgery is currently the real-time monitoring of the vagus nerve (VN) in order to prevent recurrent laryngeal nerve (RLN) iatrogenic damages. Notably, continuous intraoperative neuromonitoring (C-IONM) seems to be superior to intermitted intraoperative neural monitoring (I-IONM) because it enhances standardization by permanent vagus nerve (VN) stimulation, and it provides entire and constant RLN function monitoring as the surgeon dissects and removes the thyroid gland. It also has to be highlighted that the surgical maneuvers for the automatic periodic stimulating (APS) placement must be accurate and standardized in order to avoid a potential iatrogenic morbidity on the VN function. We recommend the experienced surgeon be very careful in each step, with cautious dissection. With this review article we provide a comprehensive analyses of C-IONM technique with the APS accessory for conventional and endoscopic thyroid surgery.
AB - One of the most important trends in intraoperative neural monitoring (IONM) in thyroid surgery is currently the real-time monitoring of the vagus nerve (VN) in order to prevent recurrent laryngeal nerve (RLN) iatrogenic damages. Notably, continuous intraoperative neuromonitoring (C-IONM) seems to be superior to intermitted intraoperative neural monitoring (I-IONM) because it enhances standardization by permanent vagus nerve (VN) stimulation, and it provides entire and constant RLN function monitoring as the surgeon dissects and removes the thyroid gland. It also has to be highlighted that the surgical maneuvers for the automatic periodic stimulating (APS) placement must be accurate and standardized in order to avoid a potential iatrogenic morbidity on the VN function. We recommend the experienced surgeon be very careful in each step, with cautious dissection. With this review article we provide a comprehensive analyses of C-IONM technique with the APS accessory for conventional and endoscopic thyroid surgery.
UR - http://www.scopus.com/inward/record.url?scp=84952788612&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84952788612&partnerID=8YFLogxK
M3 - Review article
C2 - 26054997
AN - SCOPUS:84952788612
VL - 26
SP - 101
EP - 114
JO - Surgical technology international
JF - Surgical technology international
SN - 1090-3941
ER -