Thermal injury of the recurrent laryngeal nerve by THUNDERBEAT during thyroid surgery: findings from continuous intraoperative neuromonitoring in a porcine model

2016 ◽  
Vol 200 (1) ◽  
pp. 177-182 ◽  
Author(s):  
Hee Yong Kwak ◽  
Gianlorenzo Dionigi ◽  
Dasom Kim ◽  
Hye Yoon Lee ◽  
Gil Soo Son ◽  
...  
Keyword(s):  
Recurrent Laryngeal Nerve ◽  
Thyroid Surgery ◽  
Thermal Injury ◽  
Porcine Model ◽  
Intraoperative Neuromonitoring ◽  
Laryngeal Nerve ◽  
Continuous Intraoperative Neuromonitoring

INTRAOPERATIVE CONTINUOUS NEUROMONITORING OF LARYNGEAL RECCURENT NERVES IN PATIENTS WITH THYROID CANCER

2019 ◽  
Vol 65 (3) ◽  
pp. 342-348
Author(s):  
Viktor Makarin ◽  
Anna Uspenskaya ◽  
Arseniy Semenov ◽  
Natalya Timofeeva ◽  
Roman Chernikov ◽  
...  
Keyword(s):  
Thyroid Cancer ◽  
Postoperative Complications ◽  
Recurrent Laryngeal Nerve ◽  
Thyroid Surgery ◽  
Intraoperative Neuromonitoring ◽  
Laryngeal Nerve ◽  
Laryngeal Muscles ◽  
Neural Transmission ◽  
Continuous Neuromonitoring ◽  
Surgical Manipulation

Laryngeal muscles paresis ranks second in prevalence of postoperative complications after thyroid surgery. Intraoperative neuromonitoring (IONM) of recurrent laryngeal nerve (RLN) results in reduction of cases with dysphonia and prevents such severe complication as bilateral paresis. Currently there are two types of monitoring: intermittent and continual. When using intermittent IONM surgeon has no opportunity to control electrophysiology state of RLN during intervals between stimulations. In case of continual IONM date on amplitude and latency are available to surgeon in real time every second, allowing him instantly react to any disturbance of neural transmission to prevent its damage by changing surgical manipulation. This work presents the first experience of using continual neuromonitoring of RLN in Russia, the procedure is described in details its safety. It is represented the possibility of prevention of bilateral laryngeal muscles paresis.

Electrophysiologic monitoring correlates of recurrent laryngeal nerve heat thermal injury in a porcine model

2015 ◽  
Vol 125 (8) ◽  
pp. E283-E290 ◽  
Author(s):  
Yi-Chu Lin ◽  
Gianlorenzo Dionigi ◽  
Gregory W. Randolph ◽  
I-Cheng Lu ◽  
Pi-Ying Chang ◽  
...  
Keyword(s):  
Recurrent Laryngeal Nerve ◽  
Thermal Injury ◽  
Porcine Model ◽  
Laryngeal Nerve
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