What are normal quantitative parameters of intraoperative neuromonitoring (IONM) in thyroid surgery?

Langenbeck's Archives of Surgery
Kerstin LorenzGerman Neuromonitoring Study Group

Abstract

This study aimed at definition of normal quantitative parameters in intraoperative neuromonitoring during thyroid surgery. Only few and single center studies described quantitative data of intraoperative neuromonitoring. Definition of normal parameters in intraoperative neuromonitoring is believed to be a prerequisite for interpretation of results and intraoperative findings when using this method. Moreover, these parameters seem important in regard to the prognostic impact of the method on postoperative vocal cord function. In a prospective multicenter study, quantitative analysis of vagal nerve stimulation pre- and postresection was performed in thyroid lobectomies. A standardized protocol determined set up and installation of neuromonitoring and defined assessment of quantitative parameters. Data of intraoperative neuromonitoring were respectively print-documented and centrally analyzed. In six participating centers a total of 1,289 patients with 1,996 nerves at risk underwent surgery for benign and malignant thyroid disease. Median amplitude was significantly larger for the right vs. left vagal nerve, latency was significantly longer for left vs. right vagal nerve and duration of the left vs. right vagal nerve significantly...Continue Reading

References

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Feb 29, 2008·World Journal of Surgery·H DralleUNKNOWN German IONM Study Group
Apr 3, 2010·American Journal of Surgery·Rick SchneiderSteffen Leinung

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Citations

Aug 17, 2010·Langenbeck's Archives of Surgery·Bruno Niederle
May 16, 2013·Annals of Surgery·Gianlorenzo DionigiAlberto Mangano
Dec 19, 2013·World Journal of Surgery·Kerstin LorenzHenning Dralle
Nov 28, 2013·Langenbeck's Archives of Surgery·Gregory W Randolph, Dipti Kamani
Dec 18, 2013·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·H DralleUNKNOWN Surgical Working Group for Endocrinology
Aug 14, 2015·Clinical Neurophysiology : Official Journal of the International Federation of Clinical Neurophysiology·Jeremy HowickStanley A Skinner
Jun 15, 2012·The British Journal of Surgery·H DralleA Machens
May 21, 2013·The Laryngoscope·Diana CaragacianuGregory W Randolph
Jun 24, 2015·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·H DralleA Machens
Sep 24, 2014·Proceedings of the National Academy of Sciences of the United States of America·David CalligarisNathalie Y R Agar
May 16, 2014·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·R SchneiderH Dralle
Oct 25, 2016·International Journal of Surgery·Ibrahim Ali OzemirOrhan Alimoglu
Sep 21, 2013·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Dipti KamaniGregory W Randolph
May 15, 2012·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Eimear PhelanGregory Randolph
Dec 17, 2019·The Journal of International Medical Research·Tian YuGang Miao
Sep 26, 2019·World Journal of Surgery·James W TaylorJonathan Serpell
Jan 21, 2017·Langenbeck's Archives of Surgery·Liu XiaoliMatteo Lavazza
May 12, 2017·Updates in Surgery·Karla Verónica ChávezMiguel F Herrera
Jun 14, 2021·Langenbeck's Archives of Surgery·Ombeline Empis de VendinLaurent Brunaud
Jul 2, 2021·Langenbeck's Archives of Surgery·Diego BarbieriMario Bussi

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