Please use this identifier to cite or link to this item: https://observatorio.fm.usp.br/handle/OPI/3856
Title: External branch of the superior laryngeal nerve monitoring during thyroid and parathyroid surgery: International Neural Monitoring Study Group standards guideline statement
Authors: BARCZYNSKI, MarcinRANDOLPH, Gregory W.CERNEA, Claudio R.DRALLE, HenningDIONIGI, GianlorenzoALESINA, Piero F.MIHAI, RaduFINCK, CamilleLOMBARDI, DavideHARTL, Dana M.MIYAUCHI, AkiraSERPELL, JonathanSNYDER, SamuelVOLPI, EriveltoWOODSON, GayleKRAIMPS, Jean LouisHISHAM, Abdullah N.
Citation: LARYNGOSCOPE, v.123, suppl.4, p.S1-S14, 2013
Abstract: Intraoperative neural monitoring (IONM) during thyroid surgery has gained widespread acceptance as an adjunct to the gold standard of visual identification of the recurrent laryngeal nerve (RLN). Contrary to routine dissection of the RLN, most surgeons tend to avoid rather than routinely expose and identify the external branch of the superior laryngeal nerve (EBSLN) during thyroidectomy or parathyroidectomy. IONM has the potential to be utilized for identification of the EBSLN and functional assessment of its integrity; therefore, IONM might contribute to voice preservation following thyroidectomy or parathyroidectomy. We reviewed the literature and the cumulative experience of the multidisciplinary International Neural Monitoring Study Group (INMSG) with IONM of the EBSLN. A systematic search of the MEDLINE database (from 1950 to the present) with predefined search terms (EBSLN, superior laryngeal nerve, stimulation, neuromonitoring, identification) was undertaken and supplemented by personal communication between members of the INMSG to identify relevant publications in the field. The hypothesis explored in this review is that the use of a standardized approach to the functional preservation of the EBSLN can be facilitated by application of IONM resulting in improved preservation of voice following thyroidectomy or parathyroidectomy. These guidelines are intended to improve the practice of neural monitoring of the EBSLN during thyroidectomy or parathyroidectomy and to optimize clinical utility of this technique based on available evidence and consensus of experts.
Appears in Collections:

Artigos e Materiais de Revistas Científicas - FM/MCG
Departamento de Cirurgia - FM/MCG

Artigos e Materiais de Revistas Científicas - HC/ICHC
Instituto Central - HC/ICHC

Artigos e Materiais de Revistas Científicas - LIM/28
LIM/28 - Laboratório de Cirurgia Vascular e da Cabeça e Pescoço


Files in This Item:
File Description SizeFormat 
art_CERNEA_External_branch_of_the_superior_laryngeal_nerve_monitoring_2013.PDF
  Restricted Access
publishedVersion (English)714.26 kBAdobe PDFView/Open Request a copy

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.