ReviewGland surgery2015
Loss of signal in recurrent nerve neuromonitoring: causes and management.
Review in Gland surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
38 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Intraoperative Neuromonitoring in Thyroid Surgery: A Systematic Review.World journal of surgery · 2016Pooled it
- Video laryngeal mask-guided placement of electromyographic endotracheal tubes for intraoperative neuromonitoring during thyroidectomy: a simulator-based feasibility report.Korean journal of anesthesiology · 2026Article
- Article
- Prognostic value of subthreshold biphasic electromyographic (EMG) waveforms in Type I loss of signal during thyroid intraoperative neuromonitoring.Gland surgery · 2026Article
- The value of intraoperative neuromonitoring combined with high-definition endoscopy in the operation of brachial plexus schwannoma.Frontiers in surgery · 2026Article
- Partial intraoperative signal recovery is associated with normal postoperative vocal cord motility in patients with intraoperative loss of signal.Updates in surgery · 2025Article
- Usefulness of video laryngoscopy in tracheal intubation at thyroid surgical position for intraoperative neuromonitoring.Scientific reports · 2024Observational
- Comparison of EMG amplitudes recorded by ipsilateral and contralateral electrodes placement during using trans-thyroid cartilage recording method in thyroid surgery.Frontiers in endocrinology · 2023Article
- Recurrent Laryngeal Nerve with Loss of Signal During Monitored Thyroidectomy: Percentage Reduction in Sum of the Amplitude of Left and Right Channel.World journal of surgery · 2022Article
- Importance of Intraoperative Neuromonitoring Parameters in Predicting Temporary Recurrent Laryngeal Nerve Palsy Following Thyroid Surgery for Malignancy.Indian journal of surgical oncology · 2022Article
- Necessity of Routinely Testing the Proximal and Distal Ends of Exposed Recurrent Laryngeal Nerve During Monitored Thyroidectomy.Frontiers in endocrinology · 2022Article
- A Surgeon-Centered Neuromuscular Block Protocol Improving Intraoperative Neuromonitoring Outcome of Thyroid Surgery.Frontiers in endocrinology · 2022Observational
- Intraoperative EMG recovery patterns and outcomes after RLN traction-related amplitude decrease during monitored thyroidectomy.Frontiers in endocrinology · 2022Article
- A comparison between cisatracurium and rocuronium-induced neuromuscular block on laryngeal electromyography recovery after neostigmine reversal in a porcine model.Frontiers in endocrinology · 2022Article
- Article
- Optimization of electromyographic endotracheal tube electrode position by UEScope for monitored thyroidectomy.Laryngoscope investigative otolaryngology · 2021Article
- Impact of rocuronium on intraoperative neuromonitoring vagal amplitudes during thyroidectomy.Langenbeck's archives of surgery · 2021Observational
- Laryngeal Neural Monitoring during Pediatric Thyroid Cancer Surgery-Is Transcartilage Recording a Preferable Method?Cancers · 2021Article
- Proprieties of adhesive surface arrays to thyroid cartilage for recurrent laryngeal nerve monitoring.Annals of translational medicine · 2021Article
- Recent Developments of Intraoperative Neuromonitoring in Thyroidectomy.Sisli Etfal Hastanesi tip bulteni · 2021Review
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
During recurrent laryngeal nerve (RLN) neuromonitoring in thyroid surgery, laryngeal electromyography (EMG) amplitude may be correlated with the number of muscle fibers participating in the polarization and these might be correlated with the function of RLN. If RLN is severely injured during the operation, most nerve fibers do not transmit nerve impulse and substantial decrease of EMG amplitude or loss of signal (LOS) will occur. True LOS at the end of an operation often indicates a postoperative fixed vocal cord, and the surgeon should consider the optimal contralateral surgery timing in patients with planned bilateral thyroid operation to avoid the disaster of bilateral vocal cord palsy. However, LOS recovery and false LOS may occur and may lead to an unnecessary 2(nd) operation. Therefore, a reliable modality for intraoperative LOS evaluation and management would afford the surgeon real-time information that could help guide surgical procedure and planning. The updated causes, algorithm, and management of LOS during RLN neuromonitoring are reviewed and summarized.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.