TITLE

Intraoperatives Neuromonitoring bei Schilddrüsenoperationen

AUTHOR(S)
Dralle, H.; Lorenz, K.
PUB. DATE
July 2010
SOURCE
Der Chirurg;Jul2010, Vol. 81 Issue 7, p612
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Intraoperative neuromonitoring (IONM) was introduced into thyroid surgery approximately 10 years ago for better identification of recurrent laryngeal nerve palsy. Since then several studies have been performed for evaluation of this new technology. IONM is superior to visual nerve identification alone for prediction of postoperative local cord function. Therefore, in bilateral procedures IONM enables intraoperative decision-making concerning resection of the second side. To avoid misinterpretation of the results of IONM a standardized approach including preoperative and postoperative laryngoscopy and preresection and postresection vagus stimulation is recommended. Trouble-shooting requires systematic checking of the device including control of electrode position (needle or tube electrodes). For expert assessment purposes documentation of the standardized application of IONM is of utmost importance.
ACCESSION #
51989440

 

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