Utility of the continuous intraoperative neuromonitoring in the prevention of the recurrent laryngeal nerve paralysis during thyroid surgery. A prospective observational study

Senosiain, Irene Maya; Urdiain, Andrea Goikoetxea; Egea, María Pilar Salvador; Garayoa, Patricia Ahechu; Apiñániz, Emma Anda; Saiz, Isabel Blanco; Montes, Raquel Lacomba

doi:10.1016/j.ciresp.2022.06.006

Cirugía Española

2023

DOI: 10.1016/j.ciresp.2022.06.006

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Utility of the continuous intraoperative neuromonitoring in the prevention of the recurrent laryngeal nerve paralysis during thyroid surgery. A prospective observational study

Irene Maya Senosiain

Andrea Goikoetxea Urdiain

María Pilar Salvador Egea

et al.

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2024

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Precision and protection: advancements and future of neuromonitoring techniques for laryngeal surgery

Padalhin

2024

J Neuromonit Neurophysiol

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Intraoperative neuromonitoring (IONM) has improved the safety of laryngeal surgeries by protecting critical nerves such as the recurrent laryngeal nerve and vagus nerve. This review traces the evolution of neuromonitoring from its late 19th-century origins to the modern era, focusing on the transition from intermittent intraoperative neuromonitoring (I-IONM) to continuous intraoperative neuromonitoring (cIONM). Unlike I-IONM, which offers periodic nerve activity snapshots, cIONM provides continuous, real-time feedback throughout surgery, improving nerve injury detection and prevention. Advances in electromyography (EMG) techniques and the laryngeal adductor reflex have been key in this progression. The integration of endotracheal tube-based systems has revolutionized monitoring by providing less invasive and more accurate assessments. The review also explores cIONM's role in minimally invasive surgeries, such as robotic and endoscopic procedures, offering enhanced precision and better patient outcomes. It further discusses recent advancements in EMG techniques and future directions, highlighting the potential for innovations to enhance the precision and safety of laryngeal surgeries.

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Precision and protection: advancements and future of neuromonitoring techniques for laryngeal surgery

Padalhin

2024

J Neuromonit Neurophysiol

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Utility of the continuous intraoperative neuromonitoring in the prevention of the recurrent laryngeal nerve paralysis during thyroid surgery. A prospective observational study

Cited by 1 publication

References 21 publications

Precision and protection: advancements and future of neuromonitoring techniques for laryngeal surgery

Precision and protection: advancements and future of neuromonitoring techniques for laryngeal surgery

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