ReviewGland surgery2016
Continuous intraoperative neural monitoring of the recurrent nerves in thyroid surgery: a quantum leap in technology.
Review in Gland surgery, 2016. 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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Who cites it
38 citing papers in PubMed, 1 synthesis or guideline pooled it, 89 citations in OpenAlex.
- The current state of intermittent intraoperative neural monitoring for prevention of recurrent laryngeal nerve injury during thyroidectomy: a PRISMA-compliant systematic review of overlapping meta-analyses.Langenbeck's archives of surgery · 2017Pooled it
- Article
- Adherence to international neural monitoring study group (INMSG) guidelines for intraoperative nerve monitoring in thyroid and parathyroid surgery. A survey of endocrine surgeons in Spain.Scientific reports · 2026Article
- Near infrared autofluorescence for parathyroid detection during thyroid and parathyroid surgery: a valuable medical device but not a substitute for surgical experience and volume.Gland 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
- Thyroid Cancer Surgery in a Patient With Frontotemporal Dementia: Balancing Oncologic and Neurocognitive Challenges.Cureus · 2025Article
- Proposal of integrated clinical pathway in the management of perioperative recurrent laryngeal nerve injury post thyroid and parathyroid surgery.Scientific reports · 2025Article
- Review of Surgical Interventions in the Thyroid Gland: Recent Advances and Current Considerations.Methods in molecular biology (Clifton, N.J.) · 2025Review
- Influence of intraoperative electromyographic changes and surgical extent on post-thyroidectomy esophageal motility: a prospective cohort study.Frontiers in endocrinology · 2025Article
- Application of continuous intraoperative neuromonitoring in the study of spinal nerve root thermal injury in a porcine model.BMC musculoskeletal disorders · 2024Article
- Current Knowledge on the Use of Neuromonitoring in Thyroid Surgery.Biomedicines · 2024Review
- Article
- Vagus Nerve Stimulation in the Carotid Triangle: An Effective Method for Monitoring the Recurrent Laryngeal Nerve in Thyroid and Parathyroid Surgery.Journal of clinical medicine · 2023Article
- Safety of continuous intraoperative vagus nerve neuromonitoring during thyroid surgery.BJS open · 2023Article
- Infrared neural stimulation markedly enhances nerve functionality assessment during nerve monitoring.Scientific reports · 2023Article
- Healthcare Liability and Thyroidectomy: When Is the Surgeon Wrong?Healthcare (Basel, Switzerland) · 2023Article
- Editorial: Recent Advances in Thyroid Surgery.Journal of clinical medicine · 2022Article
- Seeing Is Not Believing: Intraoperative Nerve Monitoring (IONM) in the Thyroid Surgery.Indian journal of surgical oncology · 2022Review
- Intraoperative EMG recovery patterns and outcomes after RLN traction-related amplitude decrease during monitored thyroidectomy.Frontiers in endocrinology · 2022Article
- The Application Value of the Central Lymph Node Metastasis Risk Assessment Model in Papillary Thyroid Microcarcinoma of Stage cN0: A Study of 828 Patients.Frontiers in endocrinology · 2022Article
Corrections and comments
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Authors and funding
9 authors at 6 institutions in 5 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The continuous intraoperative neural monitoring (CIONM) technique is increasingly acknowledged as a useful tool to recognize impending nerve injury and to abort the related manoeuvre to prevent nerve injury during thyroid surgery. CIONM provides valuable real-time information constantly, which is really useful during complex thyroid surgeries especially in the settings of unusual anatomy. Thus, CIONM overcomes the key methodological limitation inherent in intermittent nerve monitoring (IINOM); which is allowing the nerve to be at risk in between the stimulations. The clinically important combined electromyographic (EMG) event, indicative of impending recurrent laryngeal nerve (RLN) injury, prevents the majority of traction related injuries to the anatomically intact RLN enabling modification of the causative surgical manoeuvre in 80% of cases. These EMG changes can progress to loss of EMG signal with postoperative vocal cord palsy (VCP) if corrective action is not taken. As a further extension, CIONM also helps to identify intraoperative functional nerve recovery with restitution of amplitude to ≥50% of initial baseline; this allows continuing of resection of contralateral side. CIONM facilitates for early corrective action before permanent damage to the nerve has been done. CIONM is a recent but rapidly evolving technique, constantly being refined by various studies focusing on improvement in its implementation and interpretation, as well as on the elimination of the technical snags.
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