Continuous Intraoperative Neuromonitoring (C-IONM) Technique with the Automatic Periodic Stimulating (APS) Accessory for Conventional and Endoscopic Thyroid Surgery

Gianlorenzo Dionigi, Feng Yu Chiang, Sun Hui, Chei Wei Wu, Liu Xiaoli, Cesare C arlo Ferrari, Alberto Mangano, Georgios D. Lianos, Andrea Leotta, Matteo Lavazza, Francesco Frattini, Matteo Annoni, Stefano Rausei, Luigi Boni, Hoon Yub Kim

Research output: Contribution to journalReview article

6 Citations (Scopus)

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 languageEnglish
Pages (from-to)101-114
Number of pages14
JournalSurgical technology international
Volume26
Publication statusPublished - 2015 May 1
Externally publishedYes

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Intraoperative Monitoring
Recurrent Laryngeal Nerve
Thyroid Gland
Vagus Nerve
Vagus Nerve Stimulation
Dissection
Morbidity
Surgeons

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 journalReview article

Dionigi, G, Chiang, FY, Hui, S, Wu, CW, Xiaoli, L, Ferrari, CCA, Mangano, A, Lianos, GD, Leotta, A, Lavazza, M, Frattini, F, Annoni, M, Rausei, S, Boni, L & Kim, HY 2015, 'Continuous Intraoperative Neuromonitoring (C-IONM) Technique with the Automatic Periodic Stimulating (APS) Accessory for Conventional and Endoscopic Thyroid Surgery', Surgical technology international, vol. 26, pp. 101-114.
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. / Continuous Intraoperative Neuromonitoring (C-IONM) Technique with the Automatic Periodic Stimulating (APS) Accessory for Conventional and Endoscopic Thyroid Surgery. In: Surgical technology international. 2015 ; Vol. 26. pp. 101-114.
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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.",
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