Medtronic

Medical-Langer

Abstract:

Standardization of the intraoperative neuromonitoring (IONM) technique is an essential aspect of modern monitored thyroid surgery. The standardized technique involves vagal nerve stimulation. VN stimulation is useful for technical problem solving, detecting non-recurrent laryngeal nerve (non-RLN), recognizing any recurrent laryngeal nerve (RLN) lesions, and precisely predicting RLN postoperative function. Herein, we present technical notes for the VN identification to achieve the critical view of safety of the VN stimulation with or without dissection.

Authors:

Gianlorenzo Dionigi, MD, FACS, Associate Professor of Surgery, Director, 1st Division of General Surgery, Director, Endocrine Surgery Research Center epartment of Surgical Sciences and Human Morphology, University of Insubria, Varese, Italy, Hoon Yub Kim , MD, Associate Professor of Surgery, Department of Surgery, Korea University College of Medicine, Seoul, Korea, Che-Wei Wu, MD, Professor, Department of Otolaryngology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung City, Taiwan, Matteo Lavazza, MD, Resident, 1st Division of General Surgery, Department of Surgical Sciences, Endocrine Surgery Research Center, University of Insubria, Varese, Italy, Cesare Ferrari, MD, Resident, 1st Division of General Surgery, Department of Surgical Sciences, Endocrine Surgery Research Center, University of Insubria, Varese, Italy, Andrea Leotta, MD, Resident, 1st Division of General Surgery, Department of Surgical Sciences, Endocrine Surgery Research Center, University of Insubria, Varese, Italy, Sebastiano Spampatti, MD, Resident, 1st Division of General Surgery, Department of Surgical Sciences, Endocrine Surgery Research Center, University of Insubria, Varese, Italy, Francesca Rovera, MD, Associate Professor of Surgery, 1st Division of General Surgery, Department of Surgical Sciences, Endocrine Surgery Research Center, University of Insubria, Varese, Italy, Stefano Rausei, MD ,1st Division of General Surgery, Department of Surgical Sciences, Endocrine Surgery Research Center, University of Insubria, Varese, Italy, Luigi Boni, MD, FACS, Associate Professor of Surgery, Director, Minimally Invasive Surgery Research Center, 1st Division of General Surgery, Department of Surgical Sciences and Human Morphology, Endocrine Surgery Research Center, University of Insubria, Varese, Italy, Feng-Yu Chiang, MD, Professor, Department of Otolaryngology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung City, Taiwan

PMID: 23860931

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