Int J Thyroidol.  2021 May;14(1):1-5. 10.11106/ijt.2021.14.1.1.

Intraoperative Neuromonitoring during Thyroid Surgery

Affiliations
  • 1Department of Surgery, KUMC Thyroid Center, Korea University Hospital, Korea University College of Medicine, Seoul, Korea

Abstract

Intraoperative neuromonitoring is a well-established method used to prevent intraoperative nerve damage, and many studies have been performed in thyroid surgery. We introduced the basic concept and practical application of intraoperative neuromonitoring, as well as its standardized techniques and detailed contents. In addition, the contents of this still yet relatively unknown field, such as its application in transoral robotic thyroidectomy and its application to the external branches of the superior laryngeal nerve, were summarized by referring to many previous studies.

Keyword

Intraoperative neuromonitoring; Thyroid surgery; Recurrent laryngeal nerve; Transoral robotic thyroidectomy

Figure

  • Fig. 1 Cernea classification of the EBSLN. In type I, the EBSLN crosses the superior thyroidal vessels at least 1 cm above the plane hori-zontal to the upper edge of the superior thyroid pole; in type IIa, the distance is shorter than 1 cm and is not below the plane; in type IIb, the EBSLN is below the plane. EBSLN: external branch of the superior laryngeal nerve.30)


Reference

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