Investigation of optimal intensity and safety of electrical nerve stimulation during intraoperative neuromonitoring of the recurrent laryngeal nerve: A prospective porcine model

Head & Neck ◽  
2010 ◽  
Vol 32 (10) ◽  
pp. 1295-1301 ◽  
Author(s):  
Che-Wei Wu ◽  
I-Cheng Lu ◽  
Gregory W. Randolph ◽  
Wen-Rei Kuo ◽  
Ka-Wo Lee ◽  
...  
Keyword(s):  
Recurrent Laryngeal Nerve ◽  
Nerve Stimulation ◽  
Porcine Model ◽  
Intraoperative Neuromonitoring ◽  
Laryngeal Nerve ◽  
Electrical Nerve Stimulation ◽  
Optimal Intensity

scholarly journals Effectiveness of intraoperative neuromonitoring of the recurrent laryngeal nerve with intermittent vagal nerve stimulation

2020 ◽  
Vol 49 ◽  
Author(s):  
Marco Aurélio Vamondes Kulcsar ◽  
Felipe Toyama Aires ◽  
Danielli Matsuura ◽  
Lenine Garcia Brandão ◽  
Claudio Roberto Cernea
Keyword(s):  
Recurrent Laryngeal Nerve ◽  
Nerve Stimulation ◽  
Intraoperative Neuromonitoring ◽  
Laryngeal Nerve ◽  
Vagal Nerve ◽  
Vagal Nerve Stimulation

INTRAOPERATIVE CONTINUOUS NEUROMONITORING OF LARYNGEAL RECCURENT NERVES IN PATIENTS WITH THYROID CANCER

2019 ◽  
Vol 65 (3) ◽  
pp. 342-348
Author(s):  
Viktor Makarin ◽  
Anna Uspenskaya ◽  
Arseniy Semenov ◽  
Natalya Timofeeva ◽  
Roman Chernikov ◽  
...  
Keyword(s):  
Thyroid Cancer ◽  
Postoperative Complications ◽  
Recurrent Laryngeal Nerve ◽  
Thyroid Surgery ◽  
Intraoperative Neuromonitoring ◽  
Laryngeal Nerve ◽  
Laryngeal Muscles ◽  
Neural Transmission ◽  
Continuous Neuromonitoring ◽  
Surgical Manipulation

Laryngeal muscles paresis ranks second in prevalence of postoperative complications after thyroid surgery. Intraoperative neuromonitoring (IONM) of recurrent laryngeal nerve (RLN) results in reduction of cases with dysphonia and prevents such severe complication as bilateral paresis. Currently there are two types of monitoring: intermittent and continual. When using intermittent IONM surgeon has no opportunity to control electrophysiology state of RLN during intervals between stimulations. In case of continual IONM date on amplitude and latency are available to surgeon in real time every second, allowing him instantly react to any disturbance of neural transmission to prevent its damage by changing surgical manipulation. This work presents the first experience of using continual neuromonitoring of RLN in Russia, the procedure is described in details its safety. It is represented the possibility of prevention of bilateral laryngeal muscles paresis.

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