ReviewGland surgery2017
Opportunities and challenges of intermittent and continuous intraoperative neural monitoring in thyroid surgery.
Review in Gland surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- A simple, efficient, and safe way of finding recurrent laryngeal nerve beneficial for PTC patients.Medicine · 2020Trial
- European Society of Endocrine Surgeons (ESES) consensus statement on standardization and research requirements for intraoperative nerve monitoring in endocrine surgery.The British journal of surgery · 2026Article
- 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
- The Application of Intermittent Intraoperative Neuromonitoring (I-IONM) and Continuous Intraoperative Neuromonitoring (C-IONM) During Thyroid Surgery: A Single-Center Study.Journal of clinical medicine · 2025Article
- [Modern thyroid surgery : Efficient and safe thyroidectomy technique].Chirurgie (Heidelberg, Germany) · 2024Review
- Recurrent Laryngeal Nerve Intraoperative Neuromonitoring Indications in Non-Thyroid and Non-Parathyroid Surgery.Journal of clinical medicine · 2024Review
- 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
- Evaluation of intraoperative neuromonitoring (IONM) data with the Mainz IONM Quality Assurance and Analysis tool.BJS open · 2023Article
- Safety of continuous intraoperative vagus nerve neuromonitoring during thyroid surgery.BJS open · 2023Article
- Intraoperative Neuromonitoring: Evaluating the Role of Continuous IONM and IONM Techniques for Emerging Surgical and Percutaneous Procedures.Frontiers in endocrinology · 2022Review
- Effect of remimazolam on intraoperative neuromonitoring during thyroid surgery: a case series.Journal of anesthesia · 2021Article
- Dosage effect of cisatracurium on intubation and intraoperative neuromonitoring during thyroidectomy: a randomized controlled trial.Gland surgery · 2021Article
- Neuromonitoring of the Recurrent Laryngeal Nerve Reduces the Rate of Bilateral Vocal Cord Dysfunction in Planned Bilateral Thyroid Procedures.Journal of clinical medicine · 2021Article
- Recurrent laryngeal nerve monitoring during totally robot-assisted Ivor Lewis esophagectomy.Langenbeck's archives of surgery · 2020Article
- [Modern thyroid surgery - the surgeon's endocrine-surgical understanding and his responsibility for the extent of surgery and complication rate].Wiener medizinische Wochenschrift (1946) · 2020Review
- Article
- Role of intraoperative neuromonitoring of recurrent laryngeal nerve in thyroid and parathyroid surgery.The Journal of international medical research · 2020Article
- Intraoperative nerve monitoring in thyroid surgery-shifting current paradigms.Gland surgery · 2020Review
- The usefulness of a bilateral trans-cervical pneumomediastinal approach for mediastinoscopic radical esophagectomy: a right transcervical approach is an available option.General thoracic and cardiovascular surgery · 2019Article
- Needle electrodes inserted in the thyroid cartilage may provide better neuromonitoring signals during thyroidectomy.Gland surgery · 2019Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The number of thyroid operations and there radically continues to rise in the western hemisphere, bringing prevention of recurrent laryngeal nerve (RLN) palsy to the fore. Overall, the incidence of RLN palsy is fairly low but continues to prompt litigation for malpractice. In an effort to diminish transient, and more importantly permanent, RLN palsy rates, intraoperative neuromonitoring (IONM) has been advocated as a risk minimization tool. Recent meta-analyses of studies, many of which were limited by poor study design and the sole use of intermittent nerve stimulation, were unable to demonstrate superiority of IONM over mere anatomic RLN dissection. This is where continuous IONM (CIONM) comes into play: this technology enables the surgeon to (I) identify impending nerve injury as it unfolds; (II) release distressed nerves by reversing causative surgical maneuvers; and (III) verify functional nerve recovery after intraoperative loss of the electromyographic signal. Despite this superiority, CIONM is not devoid of methodological limitations, which need to be accounted for. This review summarizes the current key achievements of IONM; outlines opportunities for improvement regarding clinical implementation; and suggests areas of future research in this rapidly evolving field.
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