지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.96 No.6
- 발행연도
- 2019.6
- 수록면
- 269 - 274 (6page)
이용수
초록· 키워드
오류제보하기
Purpose: Thyroid reoperations are surgically challenging because of significant anatomical variance. Visual and functional identification of the external branch of the superior laryngeal nerve (EBSLN) were studied in 2 groups of patients who underwent primary and redo thyroid surgery.
Methods: This study was conducted on 200 patients: 100 patients with redo and 100 patients with primary thyroid surgery. In addition to visual identification, nerve branches were functionally identified by intraoperative nerve monitoring (IONM). Visual, functional, and total identification rates of the EBSLN in both primary and redo surgery were determined and compared between the 2 groups.
Results: We attempted to identify 138 and 170 EBSLNs at risk in redo and primary surgery, respectively. Visual identification rates were 65.3% and 30.4% (P < 0.001) in primary and redo surgery groups, respectively. In total, 164 (96.5%) and 97 EBSLNs (70.3%) were identified in primary and redo surgery, respectively (P ＜ 0.001), including the use of IONM. In primary surgery group, 53 nonvisualized EBSLNs of 164 identified nerves (32.3%) were determined by IONM alone. In redo surgery group, 55 of 97 identified nerves (56.7%) were determined by IONM alone (P ＜ 0.001).
Conclusion: Both visual and total identification rates of the EBSLN are significantly decreased in reoperative thyroidectomy. IONM increases the total identification rate of the EBSLN in primary and redo thyroid surgery. Electrophysiological monitoring makes a substantial contribution to the identification of the EBSLN both in primary and especially in redo thyroid surgery.
Methods: This study was conducted on 200 patients: 100 patients with redo and 100 patients with primary thyroid surgery. In addition to visual identification, nerve branches were functionally identified by intraoperative nerve monitoring (IONM). Visual, functional, and total identification rates of the EBSLN in both primary and redo surgery were determined and compared between the 2 groups.
Results: We attempted to identify 138 and 170 EBSLNs at risk in redo and primary surgery, respectively. Visual identification rates were 65.3% and 30.4% (P < 0.001) in primary and redo surgery groups, respectively. In total, 164 (96.5%) and 97 EBSLNs (70.3%) were identified in primary and redo surgery, respectively (P ＜ 0.001), including the use of IONM. In primary surgery group, 53 nonvisualized EBSLNs of 164 identified nerves (32.3%) were determined by IONM alone. In redo surgery group, 55 of 97 identified nerves (56.7%) were determined by IONM alone (P ＜ 0.001).
Conclusion: Both visual and total identification rates of the EBSLN are significantly decreased in reoperative thyroidectomy. IONM increases the total identification rate of the EBSLN in primary and redo thyroid surgery. Electrophysiological monitoring makes a substantial contribution to the identification of the EBSLN both in primary and especially in redo thyroid surgery.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (30)
참고문헌 신청
Hurtado-Lopez LM / 2016 / Efficacy of intraoperative neuro-monitoring to localize the external branch of the superior laryngeal nerve / Thyroid 26:174~178
Barczynski M / 2016 / International survey on the identification and neural monitoring of the EBSLN during thyroidectomy / Laryngoscope 126:285~291
Emin Gurleyik / 2017 / Intraoperative Monitoring of External Branch of the Superior Laryngeal Nerve: Functional Identification, Motor Integrity, and its Role on Vocal Cord Function / Journal of Investigative Surgery 31(6):509~514
Sung ES / 2018 / Is cricothyroid muscle twitch predictive of the integrity of the EBSLN in thyroid surgery? / Laryngoscope 128:2654~2661
Liddy W / 2017 / The electrophysiology of thyroid surgery : electrophysiologic and muscular responses with stimulation of the vagus nerve, recurrent laryngeal nerve, and external branch of the superior laryngeal nerve / Laryngoscope 127:764~771
Barczynski M / 2016 / International survey on the identification and neural monitoring of the EBSLN during thyroidectomy / Laryngoscope 126:285~291
Emin Gurleyik / 2017 / Intraoperative Monitoring of External Branch of the Superior Laryngeal Nerve: Functional Identification, Motor Integrity, and its Role on Vocal Cord Function / Journal of Investigative Surgery 31(6):509~514
Sung ES / 2018 / Is cricothyroid muscle twitch predictive of the integrity of the EBSLN in thyroid surgery? / Laryngoscope 128:2654~2661
Liddy W / 2017 / The electrophysiology of thyroid surgery : electrophysiologic and muscular responses with stimulation of the vagus nerve, recurrent laryngeal nerve, and external branch of the superior laryngeal nerve / Laryngoscope 127:764~771
함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
Intraoperative neuromonitoring of the external branch of the superior laryngeal nerve during robotic thyroid surgery : a preliminary prospective study
Annals of Surgical Treatment and Research
2015 .10
-
The Future of Thyroid Surgery
The Journal of Endocrine Surgery
2020 .01
-
갑상선 수술에서 수술 중 신경 감시의 효용성: 학습곡선을중심으로
International Journal of Thyroidology
2018 .01
-
Medico-Legal Issues of Intraoperative Neuromonitoring in Thyroid Surgery
The Journal of Endocrine Surgery
2017 .01
-
Future Directions of Neural Monitoring in Thyroid Surgery
The Journal of Endocrine Surgery
2017 .01
-
The Recurrent Laryngeal Nerve(RLN) and External Branch of Superior Laryngeal Nerve(EBSLN) Preservation in Transoral Robotic Thyroidectomy(TORT)
대한외과학회 학술대회 초록집
2020 .11
-
Thyroid Cancer Surgery
대한외과학회 학술대회 초록집
2022 .11
-
Continuous Intraoperative Neuromonitoring (C-IONM) in Thyroid Surgery
대한외과학회 학술대회 초록집
2016 .11
-
Protection and Dissection of Recurrent Laryngeal Nerve in Salvage Thyroid Cancer Surgery to Patients with Insufficient Primary Operation Extent and Suspicious Residual Tumor
Asian Pacific journal of cancer prevention : APJCP
2015 .01
-
Loss of the Neuromonitoring Signal on the First Side in Planned Total Thyroidectomy
The Journal of Endocrine Surgery
2017 .01
-
Outcomes of the use Of Intraoperative Nerve Monitoring in the Practical Setting of Thyroid Surgery
대한외과학회 학술대회 초록집
2022 .05
-
Improving Safety of Neural Monitoring in Thyroid Surgery: Educational Considerations in Learning New Procedure
The Journal of Endocrine Surgery
2018 .01
-
Thyroid : Cons
대한임상종양학회 학술대회지
2015 .02
-
Robotic Surgery for Thyroid Cancer
대한임상종양학회 학술대회지
2016 .02
-
흥미로운 갑상선 수술의 역사: 고대부터 현대까지
대한이비인후-두경부외과학회지
2016 .01
-
Safety of medial dissection of the thyroid gland along the trachea based on anatomic constancy of the laryngeal entry point of the recurrent laryngeal nerve
Annals of Surgical Treatment and Research
2018 .07
-
갑상선 수술을 위한 새로운 수술 중 신경감시시스템의개발
International Journal of Thyroidology
2018 .01
-
Pros of Robotic Thyroid Surgery
대한임상종양학회 학술대회지
2015 .02
이 논문의 저자 정보
최근 본 자료
댓글(0)
0