External branch of the superior laryngeal nerve monitoring during thyroid and parathyroid surgery: International Neural Monitoring Study Group standards guideline statement

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art_CERNEA_External_branch_of_the_superior_laryngeal_nerve_monitoring_2013.PDF (714.26 KB)
Citações na Scopus
244
Tipo de produção
article
Data de publicação
2013
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
WILEY-BLACKWELL
Autores
BARCZYNSKI, Marcin
RANDOLPH, Gregory W.
DRALLE, Henning
DIONIGI, Gianlorenzo
ALESINA, Piero F.
MIHAI, Radu
FINCK, Camille
LOMBARDI, Davide
HARTL, Dana M.
Citação
LARYNGOSCOPE, v.123, suppl.4, p.S1-S14, 2013
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
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.
Palavras-chave
Superior laryngeal nerve, external branch of the superior laryngeal nerve, nerve identification, nerve stimulation, nerve monitoring, thyroid and parathyroid surgery
URI
https://observatorio.fm.usp.br/handle/OPI/3856
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Coleções
Artigos e Materiais de Revistas Científicas - FM/MCG
Artigos e Materiais de Revistas Científicas - HC/ICHC
Artigos e Materiais de Revistas Científicas - LIM/28