Continuous Intraoperative Neuromonitoring (C-IONM) Technique with the Automatic Periodic Stimulating (APS) Accessory for Conventional and Endoscopic Thyroid Surgery
Articolo
Data di Pubblicazione:
2015
Citazione:
Continuous Intraoperative Neuromonitoring (C-IONM) Technique with the Automatic Periodic Stimulating (APS) Accessory for Conventional and Endoscopic Thyroid Surgery / G. Dionigi, F. Chiang, S. Hui, C. Wu, L. Xiaoli, C.C. Ferrari, A. Mangano, G.D. Lianos, A. Leotta, M. Lavazza, F. Frattini, M. Annoni, S. Rausei, L. Boni, H.Y. Kim. - In: SURGICAL TECHNOLOGY INTERNATIONAL. - ISSN 1090-3941. - 26:(2015 May), pp. 101-114.
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.
Tipologia IRIS:
01 - Articolo su periodico
Keywords:
Endoscopy; Equipment Design; Humans; Intraoperative Neurophysiological Monitoring; Thyroidectomy; Vagus Nerve Stimulation
Elenco autori:
G. Dionigi, F. Chiang, S. Hui, C. Wu, L. Xiaoli, C.C. Ferrari, A. Mangano, G.D. Lianos, A. Leotta, M. Lavazza, F. Frattini, M. Annoni, S. Rausei, L. Boni, H.Y. Kim
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