Continuous intraoperative neuromonitoring is currently the gold standard technique available to prevent recurrent laryngeal nerve injuries. It significantly reduces the complication rate compared with intermittent intraoperative neuromonitoring, and represents significant progress in thyroid surgery, particularly in cases of more difficult dissections.There are, however, some technological and interpretative limits related to the lack of standardization of continuous intraoperative neuromonitoring and the prolonged length of time employed in the surgical positioning of the probe, despite various proposed approaches to the vagal nerve. Nonetheless, this method can be considered a safe and modern approach to thyroid surgery that reduces post-surgical complications and provides useful information.

Limitations of Continuous Neural Monitoring in Thyroid Surgery / E. Caruso, A. Pino, A. Pontin, G. Pinto, C. Damiano, A. Catalfamo, F. Famà, G. Dionigi. - In: SISLI ETFAL HASTANESI TIP BULTENI. - ISSN 1302-7123. - 53:2(2019), pp. 81-83. [10.14744/SEMB.2019.85698]

Limitations of Continuous Neural Monitoring in Thyroid Surgery

G. Dionigi
Ultimo
2019

Abstract

Continuous intraoperative neuromonitoring is currently the gold standard technique available to prevent recurrent laryngeal nerve injuries. It significantly reduces the complication rate compared with intermittent intraoperative neuromonitoring, and represents significant progress in thyroid surgery, particularly in cases of more difficult dissections.There are, however, some technological and interpretative limits related to the lack of standardization of continuous intraoperative neuromonitoring and the prolonged length of time employed in the surgical positioning of the probe, despite various proposed approaches to the vagal nerve. Nonetheless, this method can be considered a safe and modern approach to thyroid surgery that reduces post-surgical complications and provides useful information.
Continuous neural monitoring; surgical complications; thyroid surgery.
Settore MED/18 - Chirurgia Generale
Article (author)
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/885802
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