Standardization of the intraoperative neuromonitoring (IONM) technique is an essential aspect of modern monitored thyroid surgery. The standardized technique involves vagal nerve stimulation. VN stimulation is useful for technical problem solving, detecting non-recurrent laryngeal nerve (non-RLN), recognizing any recurrent laryngeal nerve (RLN) lesions, and precisely predicting RLN postoperative function. Herein, we present technical notes for the VN identification to achieve the critical view of safety of the VN stimulation with or without dissection.
Vagus nerve stimulation for standardized monitoring: technical notes for conventional and endoscopic thyroidectomy / G. Dionigi, H. Kim, C. Wu, M. Lavazza, C. Ferrari, A. Leotta, S. Spampatti, F. Rovera, S. Rausei, L. Boni, F. Chiang. - In: SURGICAL TECHNOLOGY INTERNATIONAL. - ISSN 1090-3941. - 23:(2013), pp. 95-103.
Vagus nerve stimulation for standardized monitoring: technical notes for conventional and endoscopic thyroidectomy
G. Dionigi;L. Boni;
2013
Abstract
Standardization of the intraoperative neuromonitoring (IONM) technique is an essential aspect of modern monitored thyroid surgery. The standardized technique involves vagal nerve stimulation. VN stimulation is useful for technical problem solving, detecting non-recurrent laryngeal nerve (non-RLN), recognizing any recurrent laryngeal nerve (RLN) lesions, and precisely predicting RLN postoperative function. Herein, we present technical notes for the VN identification to achieve the critical view of safety of the VN stimulation with or without dissection.
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