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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
- 발행연도
- 2021.1
- 수록면
- 416 - 421 (6page)
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초록· 키워드
오류제보하기
Background and Objectives Variable types of electrodes for intraoperative neuromonitoring(IONM) during thyroid surgery have been introduced to make up for the shortcomings ofconventional endotracheal electromyogram tube. In this study, we sought to evaluate the efficacyof transcutaneous adhesive skin electrodes for IONM of recurrent laryngeal nerve (RLN)during thyroidectomy. Subjects and Method A total 97 nerves at risk of 80 patients were enrolled in this study. Two disposable adhesive skin electrodes were attached at both upper margins of thyroid cartilage. Using NIM 3.0 system (Medtronic), we recorded the amplitude and latency of signals ofvagus nerve and RLN following the standard procedure of IONM. Clinicopathologic factors aswell as the preoperative and postoperative vocal cord functions of the patients were analyzed. Results IONM was successful in all nerves at risk without any false loss of signals. Therewere no complications nor any significant time delay due to adhesive skin electrodes. The meanamplitudes from the vagus nerve (V1) and RLN (R1) were 230.64 μV and 293.48 μV, respectively. Two nerves at risk showed loss of signal and the two patients showed postoperative temporaryvocal cord paralysis. The amplitude of signals from the vagus nerve (V1, V2) was significantlyhigher in the lower body mass index (BMI) group compared to that of the higher BMIgroup. Conclusion IONM using transcutaneous skin electrodes may be considered as an alternativetechnique for IONM during thyroid surgery.
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등록된 정보가 없습니다.
참고문헌 (15)
참고문헌 신청
정규원 / 2019 / Cancer Statistics in Korea: Incidence, Mortality, Survival, and Prevalence in 2016 / Cancer Research and Treatment 51(2):417~430
Lee KD / 2001 / Complications following thyroid surgery / Korean J Otolaryngol 44(5):522~527
Zheng S / 2013 / Effect of intraoperative neuromonitoring on recurrent laryngeal nerve palsy rates after thyroid surgery--a meta-analysis / J Formos Med Assoc 112(8):463~472
Sun H / 2015 / Clinical guidelines on intraoperative neuromonitoring during thyroid and parathyroid surgery / Ann Transl Med 3(15):213
Yang S / 2017 / Systematic review with meta-analysis of intraoperative neuromonitoring during thyroidectomy / Int J Surg 39:104~113
Lee KD / 2001 / Complications following thyroid surgery / Korean J Otolaryngol 44(5):522~527
Zheng S / 2013 / Effect of intraoperative neuromonitoring on recurrent laryngeal nerve palsy rates after thyroid surgery--a meta-analysis / J Formos Med Assoc 112(8):463~472
Sun H / 2015 / Clinical guidelines on intraoperative neuromonitoring during thyroid and parathyroid surgery / Ann Transl Med 3(15):213
Yang S / 2017 / Systematic review with meta-analysis of intraoperative neuromonitoring during thyroidectomy / Int J Surg 39:104~113
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