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DOI: 10.1055/s-0039-1686863
Relevance and correct performance of the intraoperative neuromonitoring in thyroid surgery
The otorhinolaryngology and head- & neck surgery asserts its claim to the domain of thyroid surgery, not least because of the anatomical location of this gland. Still a highly competitive situation is persisting between the general and head- & neck surgeons acting in this area of surgical practice. For this reason the highest qualitative demands are made on the surgical results to be fulfilled. Postoperative hypoparathyroidism and injury of the recurrent laryngeal nerve are feared complications. The intraoperative neuromonitoring plays a prominent role to prevent the last mentioned nerve impairment. This publication shows the state-of-the-art procedure of both continuous and intermittent intraoperative nerve monitoring including the surgical steps of preparation. Furthermore it conveys an overview about the currently relevant guidelines.
Publication History
Publication Date:
23 April 2019 (online)
© 2019. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
Georg Thieme Verlag KG
Stuttgart · New York