Intraoperative Nerve Monitoring in Otolaryngology: A Survey of Clinical Practice Patterns

Flukes, Stephanie; Ling, Shane S.; Leahy, Travis William; Sader, Chady

doi:10.4236/ijohns.2013.21007

Cited by 7 publications

(5 citation statements)

References 27 publications

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“…", 51% of responders replied as "for medicolegal protection". Whether this belief is true or not, itcomes down to the issue of "standard care" with respect to that particular surgery (4,5). Interestingly, the results show that many more responders consider monitoring to be the standard of care for parotid and mastoid surgery (32% and 37%, respectively) than performing it for thyroid surgery (15%).…”

Section: Applicationsmentioning

confidence: 98%

Facial nerve monitoring during parotidectomy: review

Coşkun¹

2017

Sisli Etfal

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Facial nerve monitoring during parotidectomy: reviewThe majority of otolaryngologists perform parotid gland surgery. The understanding of facial nerve anatomy and meticulous surgical technique has always been the prerequisite for this procedure. However, complications still occur by even the most experienced surgeons. Facial nerve monitoring is an adjunctive method available to a surgeon during parotid surgery to assist the functional preservation of the facial nerve. This review describes the goals, applications, technique and benefits of electrophysiologic facial nerve monitoring during parotid surgery.

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Section: Applicationsmentioning

confidence: 98%

Facial nerve monitoring during parotidectomy: review

Coşkun¹

2017

Sisli Etfal

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“…With this in mind, we have performed this survey study to give a snapshot of the utilization of IONM in thyroid surgery in Australia and New Zealand. A similar survey study was performed by otolaryngologists; however, thyroid surgery was a minor component of this study . This paper aims to show the pattern of IONM usage with regards to surgeon type, area of work, hospital type and volume of surgery.…”

Section: Introductionmentioning

confidence: 96%

“…Intraoperative nerve monitoring (IONM) has become increasingly used as an adjunct to thyroid surgery by general, endocrine and head and neck surgeons . The use of IONM has gained popularity in the last decade amongst surgeons with up to 80% of otolaryngologists in Australia using IONM . Increases in the usage of IONM have been reported worldwide with rates up to 90% in Germany, 80% in the USA, and 50% in the rest of Europe .…”

Section: Introductionmentioning

confidence: 99%

Intraoperative nerve monitoring in endocrine surgery: prevalence and reasons for its use in Australia and New Zealand

Leong

Ryan

et al. 2019

ANZ Journal of Surgery

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Background: Intraoperative nerve monitoring (IONM) has increasingly been used in thyroid surgery by general, endocrine and head and neck surgeons. The purpose of this paper was to explore the prevalence and reasons for the usage of IONM in endocrine surgery in Australia and New Zealand. Methods: A survey was sent to general surgeons registered with the Royal Australasian College of Surgeons involved in endocrine surgery and members of the Australian and New Zealand Endocrine Surgeons. Users were divided into surgeon type, area of work, hospital type and volume of surgery. These data were analysed with univariate and multivariate logistic regression models. Results: Significant differences in IONM usage levels were observed between endocrine and general surgeons, area of work and volume of surgery performed. Endocrine surgeons are significantly more likely to use IONM than general surgeons. Surgeons who work in tertiary hospitals are more likely to use IONM as compared to those working in district hospitals. Surgeons who perform less than 100 thyroidectomies were more likely to be users of IONM. Conclusion: IONM is not routinely used in thyroid surgery in Australia and New Zealand. The main reasons for the use of IONM given in our study by routine users were to establish familiarity of equipment and medicolegal reasons. Selective users chose as the most common reasons, a documented pre-existing unilateral nerve paresis or a hostile surgical field. Non-users stated that there was conflicting evidence that it improves outcomes and increased costs. © 2019 Royal Australasian College of Surgeons ANZ J Surg 90 (2020) 867-871ANZJSurg.com

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“…[ 1 ] While it is generally accepted that direct visualisation of the nerve is the gold standard, intraoperative nerve monitoring (IONM) is being used increasingly as an adjuvant to help identify the nerve. [ 2 ]…”

Section: Introductionmentioning

confidence: 99%