Increased prevalence of neural monitoring during thyroidectomy: Global surgical survey

The Laryngoscope
Allen L FengGregory W Randolph

Abstract

To investigate intraoperative nerve monitoring (IONM) use among thyroid surgeons. A 25-question survey was used to assess attitudes regarding IONM use. Surveys were sent to surgeons registered to the American Academy of Otolaryngology-Head and Neck Surgery, International Association of Endocrine Surgeons, and American Head and Neck Society. Among 1,015 respondents, 83% reported using IONM (65.1% always using IONM and 18.1% reporting selective use). For selective users, a majority reported using IONM for reoperative cases (95.1%) and in cases with preoperative vocal cord paralysis (59.8%). When comparing location, there was a significant difference in IONM implementation (P < 0.001), with 70.4% of North American responders using it ubiquitously compared to 27.4% of non-North American responders. Preoperative laryngeal exam was performed more universally by North American surgeons and more selectively by non-North American surgeons (P < 0.001). Other attitudes toward their implementation and the postoperative laryngeal exam were similar. Surgeons ≤45 years of age and those with ≤15 years of practice used IONM more than their peers (P < 0.001). Thyroid surgery volume, fellowship training, and type of practice had no bearing on ION...Continue Reading

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Citations

Dec 15, 2020·Ear, Nose, & Throat Journal·Kelsey CasanoRobert Cannon
Apr 12, 2021·American Journal of Surgery·Christina L Schweitzer, Sam M Wiseman
Apr 20, 2021·Laryngoscope Investigative Otolaryngology·Prachya ManeeprasopchokeGregory W Randolph
May 26, 2021·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Derek Kai KongRaymond L Chai

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