Med Bull Sisli Etfal Hosp. 2019; 53(2): 81-83 | DOI: 10.14744/SEMB.2019.85698

Limitations of Continuous Neural Monitoring in Thyroid Surgery

Ettore Caruso, Antonella Pino, Alessandro Pontin, Giulia Pinto, Cristina Damiano, Antonina Catalfamo, Fausto Famà, Gianlorenzo Dionigi
Division for Endocrine Surgery, Department of Human Pathology in Adulthood and Childhood ''G. Barresi'', University Hospital G. Martino, University of Messina, Messina, Italy

Continuous intraoperative neuromonitoring is currently the gold standard technique available to prevent recurrent laryngeal nerve injuries. It significantly reduces the complication rate compared with intermittent intraoperative neuromonitoring, and represents significant progress in thyroid surgery, particularly in cases of more difficult dissections.
There are, however, some technological and interpretative limits related to the lack of standardization of continuous intraoperative neuromonitoring and the prolonged length of time employed in the surgical positioning of the probe, despite various proposed approaches to the vagal nerve.
Nonetheless, this method can be considered a safe and modern approach to thyroid surgery that reduces post-surgical complications and provides useful information.

Keywords: Continuous neural monitoring, surgical complications, thyroid surgery.

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Limitations of Continuous Neural Monitoring in Thyroid Surgery

Ettore Caruso, Antonella Pino, Alessandro Pontin, Giulia Pinto, Cristina Damiano, Antonina Catalfamo, Fausto Famà, Gianlorenzo Dionigi
Division for Endocrine Surgery, Department of Human Pathology in Adulthood and Childhood ''G. Barresi'', University Hospital G. Martino, University of Messina, Messina, Italy

Continuous intraoperative neuromonitoring is currently the gold standard technique available to prevent recurrent laryngeal nerve injuries. It significantly reduces the complication rate compared with intermittent intraoperative neuromonitoring, and represents significant progress in thyroid surgery, particularly in cases of more difficult dissections.
There are, however, some technological and interpretative limits related to the lack of standardization of continuous intraoperative neuromonitoring and the prolonged length of time employed in the surgical positioning of the probe, despite various proposed approaches to the vagal nerve.
Nonetheless, this method can be considered a safe and modern approach to thyroid surgery that reduces post-surgical complications and provides useful information.

Anahtar Kelimeler: Continuous neural monitoring, surgical complications, thyroid surgery.

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