Nerve Monitoring for Transoral Thyroid Surgery: Why, How, and What to Expect

Daqi Zhang; Carmelo Mazzeo; Gianlorenzo Dionigi; Che Wei Wu; Paolo Carcoforo; Hui Sun; Gabriele Materazzi; Ralph P. Tufano; Hoon Yub Kim

doi:10.1007/s40136-019-00251-z

Nerve Monitoring for Transoral Thyroid Surgery: Why, How, and What to Expect

Daqi Zhang, Carmelo Mazzeo, Gianlorenzo Dionigi, Che Wei Wu, Paolo Carcoforo, Hui Sun, Gabriele Materazzi, Ralph P. Tufano, Hoon Yub Kim

School of Medicine

Research output: Contribution to journal › Review article › peer-review

2 Scopus citations

Abstract

Purpose of Review: We primarily describe technical tips, and attempt to demonstrate the value of using intermitted neural monitoring (IONM) during transoral endoscopic thyroidectomy vestibular approach (TOETVA), with emphasis and respect given to nerve monitoring standards described by the International Neural Monitoring Study Group (INMSG). Recent Findings: Any modifications to the established operative technique for TOETVA should result in similar or improved patient outcomes with lower rates of complications. TOETVA is a new technique that demands full protection of RLN function during the cranial to caudal thyroid and RLN dissection. Standardized IONM is feasible and safe in TOETVA. IONM is complementary to the video-endoscopic identification of the RLN. Summary: The role of IONM in transoral thyroid surgery continues to be defined. It may be that as one starts performing this surgery, intermittent IONM may provide value in confirming and preserving the neurophysiologic integrity of the RLN. Further studies are needed to evaluate this.

Original language	English (US)
Pages (from-to)	225-231
Number of pages	7
Journal	Current Otorhinolaryngology Reports
Volume	7
Issue number	3
DOIs	https://doi.org/10.1007/s40136-019-00251-z
State	Published - Sep 15 2019

Keywords

Intraoperative neural monitoring
Minimally invasive thyroidectomy
Standardization
Thyroid
Thyroidectomy
Transoral thyroidectomy

ASJC Scopus subject areas

Otorhinolaryngology
Surgery
Immunology and Allergy
Clinical Neurology

Access to Document

10.1007/s40136-019-00251-z

Cite this

@article{6fb26de148b945a6b0c70ece51225a28,

title = "Nerve Monitoring for Transoral Thyroid Surgery: Why, How, and What to Expect",

abstract = "Purpose of Review: We primarily describe technical tips, and attempt to demonstrate the value of using intermitted neural monitoring (IONM) during transoral endoscopic thyroidectomy vestibular approach (TOETVA), with emphasis and respect given to nerve monitoring standards described by the International Neural Monitoring Study Group (INMSG). Recent Findings: Any modifications to the established operative technique for TOETVA should result in similar or improved patient outcomes with lower rates of complications. TOETVA is a new technique that demands full protection of RLN function during the cranial to caudal thyroid and RLN dissection. Standardized IONM is feasible and safe in TOETVA. IONM is complementary to the video-endoscopic identification of the RLN. Summary: The role of IONM in transoral thyroid surgery continues to be defined. It may be that as one starts performing this surgery, intermittent IONM may provide value in confirming and preserving the neurophysiologic integrity of the RLN. Further studies are needed to evaluate this.",

keywords = "Intraoperative neural monitoring, Minimally invasive thyroidectomy, Standardization, Thyroid, Thyroidectomy, Transoral thyroidectomy",

author = "Daqi Zhang and Carmelo Mazzeo and Gianlorenzo Dionigi and Wu, {Che Wei} and Paolo Carcoforo and Hui Sun and Gabriele Materazzi and Tufano, {Ralph P.} and Kim, {Hoon Yub}",

note = "Publisher Copyright: {\textcopyright} 2019, Springer Science+Business Media, LLC, part of Springer Nature.",

year = "2019",

month = sep,

day = "15",

doi = "10.1007/s40136-019-00251-z",

language = "English (US)",

volume = "7",

pages = "225--231",

journal = "Current Otorhinolaryngology Reports",

issn = "2167-583X",

publisher = "Springer Science and Business Media Deutschland GmbH",

number = "3",

}

TY - JOUR

T1 - Nerve Monitoring for Transoral Thyroid Surgery

T2 - Why, How, and What to Expect

AU - Zhang, Daqi

AU - Mazzeo, Carmelo

AU - Dionigi, Gianlorenzo

AU - Wu, Che Wei

AU - Carcoforo, Paolo

AU - Sun, Hui

AU - Materazzi, Gabriele

AU - Tufano, Ralph P.

AU - Kim, Hoon Yub

PY - 2019/9/15

Y1 - 2019/9/15

N2 - Purpose of Review: We primarily describe technical tips, and attempt to demonstrate the value of using intermitted neural monitoring (IONM) during transoral endoscopic thyroidectomy vestibular approach (TOETVA), with emphasis and respect given to nerve monitoring standards described by the International Neural Monitoring Study Group (INMSG). Recent Findings: Any modifications to the established operative technique for TOETVA should result in similar or improved patient outcomes with lower rates of complications. TOETVA is a new technique that demands full protection of RLN function during the cranial to caudal thyroid and RLN dissection. Standardized IONM is feasible and safe in TOETVA. IONM is complementary to the video-endoscopic identification of the RLN. Summary: The role of IONM in transoral thyroid surgery continues to be defined. It may be that as one starts performing this surgery, intermittent IONM may provide value in confirming and preserving the neurophysiologic integrity of the RLN. Further studies are needed to evaluate this.

AB - Purpose of Review: We primarily describe technical tips, and attempt to demonstrate the value of using intermitted neural monitoring (IONM) during transoral endoscopic thyroidectomy vestibular approach (TOETVA), with emphasis and respect given to nerve monitoring standards described by the International Neural Monitoring Study Group (INMSG). Recent Findings: Any modifications to the established operative technique for TOETVA should result in similar or improved patient outcomes with lower rates of complications. TOETVA is a new technique that demands full protection of RLN function during the cranial to caudal thyroid and RLN dissection. Standardized IONM is feasible and safe in TOETVA. IONM is complementary to the video-endoscopic identification of the RLN. Summary: The role of IONM in transoral thyroid surgery continues to be defined. It may be that as one starts performing this surgery, intermittent IONM may provide value in confirming and preserving the neurophysiologic integrity of the RLN. Further studies are needed to evaluate this.

KW - Intraoperative neural monitoring

KW - Minimally invasive thyroidectomy

KW - Standardization

KW - Thyroid

KW - Thyroidectomy

KW - Transoral thyroidectomy

UR - http://www.scopus.com/inward/record.url?scp=85081664153&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85081664153&partnerID=8YFLogxK

U2 - 10.1007/s40136-019-00251-z

DO - 10.1007/s40136-019-00251-z

M3 - Review article

AN - SCOPUS:85081664153

SN - 2167-583X

VL - 7

SP - 225

EP - 231

JO - Current Otorhinolaryngology Reports

JF - Current Otorhinolaryngology Reports

IS - 3

ER -

Nerve Monitoring for Transoral Thyroid Surgery: Why, How, and What to Expect

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this