Preprint Review Version 1 Preserved in Portico This version is not peer-reviewed

Current Knowledge on the Use of Neuromonitoring in Thyroid Surgery

Version 1 : Received: 14 February 2024 / Approved: 15 February 2024 / Online: 15 February 2024 (11:35:59 CET)

A peer-reviewed article of this Preprint also exists.

Wojtczak, B.; Sutkowska-Stępień, K.; Głód, M.; Kaliszewski, K.; Sutkowski, K.; Barczyński, M. Current Knowledge on the Use of Neuromonitoring in Thyroid Surgery. Biomedicines 2024, 12, 675. Wojtczak, B.; Sutkowska-Stępień, K.; Głód, M.; Kaliszewski, K.; Sutkowski, K.; Barczyński, M. Current Knowledge on the Use of Neuromonitoring in Thyroid Surgery. Biomedicines 2024, 12, 675.

Abstract

Thyroid surgery rates have tripled over the past 3 decades making it one of the most frequently performed procedures within general surgery. They are associated with the possibility of serious postoperative complications having a significant impact on the patient's quality of life. The recurrent laryngeal nerve (RLN) palsy and the external branch of the superior laryngeal nerve (EBSLN) palsy are, next to hypoparathyroidism and bleeding after operation, one of the most common complications. The introduction of neuromonitoring into thyroid surgery, enabling both confirmation of anatomical integrity and assessment of laryngeal nerve function, was a milestone that has begun a new era in thyroid surgery. The International Neural Monitoring Study Group made standardization of the technique of RLN and EBSLN monitoring during thyroid and parathyroid surgery which increased prevalence of neural monitoring during thyroidectomy. Current status of IONM and benefits of its use have been presented in this publication.

Keywords

recurrent laryngeal nerves; thyroid surgery; intraoperative nerve monitoring; vocal fold paresis

Subject

Medicine and Pharmacology, Surgery

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