This video aimed to describe the role of intraoperative neuromonitoring (IONM) during transoral endoscopic thyroidectomy vestibular approach (TOETVA) with emphasis given to IONM technical and technological notes, the identification of recurrent laryngeal nerve (RLN). Standardized technique of IONM consist in identifying and monitoring both the vagus nerve and the RLNs before and after resection (V1, V2, R1, R2). According to this report, IONM during TOETVA is feasible and safe in providing identification and function of laryngeal nerves. IONM enable surgeons to feel more comfortable with their initial approach to TOETVA or extended indications. Larger series are needed for appropriated evaluation of IONM in reduction of the rates for RLN complications.

Monitored transoral endoscopic thyroidectomy via long monopolar stimulation probe / G. Dionigi, C.W. Wu, R.P. Tufano, A.G. Rizzo, A. Anuwong, H. Sun, P. Carcoforo, A. Cancellieri, M. Portinari, H.Y. Kim. - In: JOURNAL OF VISUALIZED SURGERY. - ISSN 2221-2965. - 4:(2018), pp. 24.1-24.5. [10.21037/jovs.2017.12.25]

Monitored transoral endoscopic thyroidectomy via long monopolar stimulation probe

G. Dionigi
Primo
;
2018

Abstract

This video aimed to describe the role of intraoperative neuromonitoring (IONM) during transoral endoscopic thyroidectomy vestibular approach (TOETVA) with emphasis given to IONM technical and technological notes, the identification of recurrent laryngeal nerve (RLN). Standardized technique of IONM consist in identifying and monitoring both the vagus nerve and the RLNs before and after resection (V1, V2, R1, R2). According to this report, IONM during TOETVA is feasible and safe in providing identification and function of laryngeal nerves. IONM enable surgeons to feel more comfortable with their initial approach to TOETVA or extended indications. Larger series are needed for appropriated evaluation of IONM in reduction of the rates for RLN complications.
Thyroid; thyroidectomy; mini-invasive thyroidectomy; transoral thyroidectomy; intraoperative neural monitoring; standardization
Settore MED/18 - Chirurgia Generale
Article (author)
File in questo prodotto:
File Dimensione Formato  
3118249.pdf

accesso aperto

Tipologia: Publisher's version/PDF
Dimensione 961.68 kB
Formato Adobe PDF
961.68 kB Adobe PDF Visualizza/Apri
Pubblicazioni consigliate

Caricamento pubblicazioni consigliate

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/2434/885834
Citazioni
  • ???jsp.display-item.citation.pmc??? 11
  • Scopus ND
  • ???jsp.display-item.citation.isi??? ND
social impact