Loss of the Neuromonitoring Signal on the First Side in Planned Total Thyroidectomy

김훈엽; Hui Sun; 채영준; Ralph Tufano; Henning Dralle; Giuseppe Navarra; Gianlorenzo Dionigi; Korean Intraoperative Neural Monitoring Society

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자료유형: 학술저널

저자정보: 김훈엽 Hui Sun 채영준 Ralph Tufano Henning Dralle Giuseppe Navarra Gianlorenzo Dionigi Korean Intraoperative Neural Monitoring Society

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

발행연도: 2017.1

수록면: 89 - 95 (7page)

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With an increased use of intraoperative neural monitoring (IONM), an adaptation of the resection strategy appears to be necessary in case of an intraoperative loss of signal (LOS) of the first operated side with total thyroidectomy planned. The contralateral side resection with intact recurrent laryngeal nerve (RLN) function from the surgical point of view, basically has 3 options: 1) no contralateral resection in bilateral goiter, Graves' disease, or low risk thyroid carcinoma (differentiated and medullary thyroid carcinomas) with the aim of 2-stage completion surgery after recovery of nerve function; 2) contralateral subtotal resection ventrally of the RLN plane in benign goiter with a safety distance to the nerve with the aim of avoiding further surgery; and 3) total thyroidectomy as planned for advanced thyroid carcinomas (including undifferentiated thyroid carcinomas) with the aim of immediate postoperative radioiodotherapy. The following document provides a synopsis of the experiences of the Korean Intraoperative Neural Monitoring Society (KINMoS) for the strategy for planned total thyroidectomy and loss of the neuromonitoring signal on the first thyroid lobe.

#Thyroid neoplasms #Surgery #Recurrent laryngeal nerve #Nerve injury #Stage thyroidectomy

참고문헌 (23)

참고문헌 신청

[학술지(정기간행물)] -

Barczy?ski M / 2009 / Randomized clinical trial of visualization versus neuromonitoring of recurrent laryngeal nerves during thyroidectomy / Br J Surg 96 : 240 ~ 246

Chiang FY / 2008 / The mechanism of recurrent laryngeal nerve injury during thyroid surgery--the application of intraoperative neuromonitoring / Surgery 143 : 743 ~ 749

Chiang FY / 2010 / Standardization of intraoperative neuromonitoring of recurrent laryngeal nerve in thyroid operation / World J Surg 34 : 223 ~ 229

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

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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