Future Directions of Neural Monitoring in Thyroid Surgery

김훈엽; Xiaoli Liu; Che-Wei Wu; 채영준; Gianlorenzo Dionigi

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자료유형: 학술저널

저자정보: 김훈엽 Xiaoli Liu Che-Wei Wu 채영준 Gianlorenzo Dionigi

저널정보: 대한갑상선-내분비외과학회 The Journal of Endocrine Surgery The Journal of Endocrine Surgery 제17권 제3호

발행연도: 2017.1

수록면: 96 - 103 (8page)

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Dissecting and identifying the recurrent laryngeal nerve (RLN) are considered routine procedures now that safe and effective methods have been established. Preventing RLN injury during thyroid surgery requires good visualization and exposure of the RLN, adequate knowledge of RLN anatomy, adequate surgical experience and training, and pre- and post-operative laryngoscopy. Whereas these requirements are widely accepted for routine thyroid surgery, new technical developments have emerged in the past 15 years. Literature show that both intermittent intraoperative neural monitoring (I-IONM) and continuous IONM (C-IONM) are recognized as effective techniques for RLN. The aim of this paper is to discuss advantages, limits and possible future directions for use of IONM and C-IONM in thyroid and parathyroid surgery.

#Thyroid gland #Recurrent laryngeal nerve #Intraoperative neurophysiological monitoring #Endoscopic #Thyroidectomy #Standards

참고문헌 (17)

참고문헌 신청

Riddell V / 1970 / Thyroidectomy: prevention of bilateral recurrent nerve palsy. Results of identification of the nerve over 23 consecutive years (1946–69) with a description of an additional safety measure / Br J Surg 57:1~11

Dionigi G / 2010 / Why monitor the recurrent laryngeal nerve in thyroid surgery? / J Endocrinol Invest 33:819~822

Randolph GW / 2011 / Electrophysiologic recurrent laryngeal nerve monitoring during thyroid and parathyroid surgery: international standards guideline statement / Laryngoscope 121(Suppl 1):S1~S16

Dralle H / 2012 / Verdicts on malpractice claims after thyroid surgery: emerging trends and future directions / Head Neck 34:1591~1596

Al-Qurayshi Z / 2016 / Analysis of variations in the use of intraoperative nerve monitoring in thyroid surgery / JAMA Otolaryngol Head Neck Surg 142:584~589

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이 논문의 저자 정보

Kim Hoon Yub

소속기관 Department of Surgery KUMC Thyroid Center Korea University Anam Hospital Korea University College o