Intraoperative electrophysiologic monitoring of the recurrent laryngeal nerve

The Laryngoscope
D W Eisele

Abstract

Intraoperative electrophysiologic monitoring of the recurrent laryngeal nerve was performed with a commercially available device consisting of an endotracheal tube with integrated stainless-steel-wire surface EMG electrodes positioned at the level of the true vocal cords. Forty-two recurrent laryngeal nerves were successfully monitored with this system in 31 patients undergoing thyroidectomy or parathyroidectomy. In all cases, evoked EMG responses were elicited by direct electrical recurrent laryngeal nerve stimulation. Stimulus thresholds for evoked responses ranged from 0.2 to 0.6 mA (mean 0.3 mA) for the 37 nerves with preoperative ipsilateral normal vocal cord mobility. Mechanically evoked potentials with acoustic signals were also detected during the surgical procedures related to recurrent laryngeal nerve manipulation. It may be concluded that surface electrode monitoring of the recurrent laryngeal nerve with this system provides a simplified, noninvasive technique that is as sensitive as monitoring with intramuscular laryngeal electrodes.

References

Jan 1, 1979·The Annals of Otology, Rhinology, and Laryngology·J L ReaJ W Templer
May 1, 1979·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·W E DavisJ Templer
Sep 1, 1991·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·D H Rice, B Cone-Wesson
May 1, 1991·Archives of Otolaryngology--head & Neck Surgery·J Herranz-GonzálezC Gavilán
Jan 1, 1990·Journal of Cancer Education : the Official Journal of the American Association for Cancer Education·G H Blijham
Jan 1, 1969·Acta Oto-laryngologica. Supplementum·K Flisberg, T Lindholm
Aug 1, 1967·The Laryngoscope·P J DoyleE C Everts
Oct 1, 1982·American Journal of Surgery·P M Nemiroff, A D Katz
Sep 1, 1955·The British Journal of Surgery·J S WADE
Jul 20, 1963·Lancet·K H JONES, P FOURMAN
Jan 1, 1960·Irish Journal of Medical Science·Z A PISKO-DUBIENSKI
Mar 1, 1918·Annals of Surgery·E S JuddF C Mann

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Citations

Dec 7, 2007·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Paul A Sloan
Feb 1, 2003·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Carl L HillermannDavid E Phillips
Sep 23, 2008·Surgical Endoscopy·Gianlorenzo DionigiRenzo Dionigi
Nov 4, 2004·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Matt L RobertsonJeff Welge
Aug 8, 2006·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Burak Omür CakirSuat Turgut
Jun 6, 2007·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Stefanie K HorneJoseph A Brennan
May 27, 2009·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Ottavio CavicchiOttavio Piccin
Jul 29, 1998·Electroencephalography and Clinical Neurophysiology·J M Guérit
Dec 22, 1999·Clinical Otolaryngology and Allied Sciences·C I Timon, M Rafferty
May 29, 2004·Current Opinion in Otolaryngology & Head and Neck Surgery·Christy L Ludlow
Jun 20, 2014·Journal of Otolaryngology - Head & Neck Surgery = Le Journal D'oto-rhino-laryngologie Et De Chirurgie Cervico-faciale·Pietro Giorgio CalòAngelo Nicolosi
Aug 28, 2014·Journal of the American College of Surgeons·Thomas K ChungMary T Hawn
Apr 17, 2008·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Stephan HaerleW Mueller
May 21, 2013·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Alvaro SanabriaAlfio Ferlito
Feb 29, 2008·World Journal of Surgery·H DralleUNKNOWN German IONM Study Group
Dec 18, 2013·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·H DralleUNKNOWN Surgical Working Group for Endocrinology
Jun 19, 2007·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Wolfram LamadéKlaus Peter Koch
Nov 26, 2008·Expert Review of Medical Devices·Gianlorenzo DionigiRenzo Dionigi
Sep 11, 2013·Journal of the Formosan Medical Association = Taiwan Yi Zhi·Shixing ZhengJinnian He
Jul 28, 2013·Revista española de anestesiología y reanimación·J Martín JaramagoC Solaz Roldán
Jun 2, 2012·Acta otorrinolaringológica española·José Luis Pardal-Refoyo
Apr 13, 2012·Journal of Clinical Anesthesia·Vladimir NekhendzyEdward J Damrose
Oct 5, 2010·Journal of Vascular and Interventional Radiology : JVIR·Shantanu PanjaPurushottam Chavan
Dec 29, 2015·International Journal of Surgery·Pietro Giorgio CalòAngelo Nicolosi
Oct 20, 2009·The Surgical Clinics of North America·Peter Angelos
Jan 8, 2008·Surgical Oncology Clinics of North America·Matthew C Miller, Joseph R Spiegel
Jan 8, 2008·Surgical Oncology Clinics of North America·Adam D Rubin, Robert T Sataloff
Apr 5, 2005·The Laryngoscope·Lisa Danielle GrunebaumEdmund A Pribitkin
Apr 15, 2003·Veterinary Surgery : VS·Yvonne A ElceEric P Tulleners
Oct 28, 2006·Acta Anaesthesiologica Scandinavica·H ItoH Katsuya
Aug 13, 2009·Head & Neck·David W EiseleLisa A Orloff
Oct 2, 2012·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·D ZhongX Yan
Aug 25, 2015·The Laryngoscope·Howard W FrancisDavid W Eisele

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