Full percutaneous intraoperative neuromonitoring technique in remote thyroid surgery: Porcine model feasibility study
| Autor: | Tzu-Yen Huang, I-Cheng Lu, Hsin-Yi Tseng, Che-Wei Wu, Pi-Ying Chang, Gianlorenzo Dionigi, Feng-Yu Chiang, Hoon Yub Kim, Yi-Chu Lin |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Percutaneous Swine Thyroid Gland 030209 endocrinology & metabolism intraoperative neuromonitoring long-needle electrodes remote thyroidectomy 03 medical and health sciences 0302 clinical medicine medicine Recurrent laryngeal nerve Animals Perichondrium Prospective Studies full percutaneous approach porcine model Endotracheal tube Electromyography Recurrent Laryngeal Nerve business.industry Model study Thyroid Thyroid cartilage Evoked electromyography Surgery medicine.anatomical_structure Otorhinolaryngology 030220 oncology & carcinogenesis Recurrent Laryngeal Nerve Injuries Thyroidectomy Feasibility Studies business |
| Zdroj: | Head & Neck. 43:505-513 |
| ISSN: | 1097-0347 1043-3074 |
| DOI: | 10.1002/hed.26500 |
| Popis: | Background In remote thyroid surgery, a reliable intraoperative neuromonitoring (IONM) procedure is an important tool for reducing injury to recurrent laryngeal nerve (RLN). This study proposes an alternative or adjunct technique for performing full percutaneous (PC) IONM and confirms its feasibility in animal experiments. Methods This prospective porcine model study enrolled four piglets with eight nerve sides. Evoked electromyography (EMG) was stimulated from PC ball-tip probe, and recorded from EMG endotracheal tube (ETT) and from PC paired long-needle electrodes on the perichondrium of the lateral aspect of thyroid cartilage. Results In all RLNs and vagus nerves, typical laryngeal EMG waveforms were successfully evoked by PC probe stimulation and recorded by both ETT and PC needle electrodes. Conclusions This study confirms the feasibility of the full PC IONM techniques in porcine model. However, further clinical studies are needed to compare the practicality of different remote-access approaches for thyroid surgery. |
| Databáze: | OpenAIRE |
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