ArticleWorld journal of surgery2020
Intraoperative Neuromonitoring of Recurrent Laryngeal Nerve During Thyroidectomy with Adhesive Skin Electrodes.
Article in World journal of surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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12 citing papers in PubMed, 31 citations in OpenAlex.
- Prognostic value of subthreshold biphasic electromyographic (EMG) waveforms in Type I loss of signal during thyroid intraoperative neuromonitoring.Gland surgery · 2026Article
- A Low-Profile High-Density Electromyography Neckband for Recording Neck Muscle Activity.Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference · 2025Article
- Intraoperative Nerve Monitoring in Thyroid Surgery: A Comprehensive Review of Technical Principles, Anesthetic Considerations, and Clinical Applications.Journal of clinical medicine · 2025Review
- Normative electromyography data and influencing factors in intraoperative neuromonitoring using adhesive skin electrodes during thyroid surgery.Gland surgery · 2024Article
- Modern Surgical Techniques of Thyroidectomy and Advances in the Prevention and Treatment of Perioperative Complications.Cancers · 2023Review
- Feasibility of facial nerve monitoring using adhesive surface electrodes during parotidectomy: a comparative study with needle electrodes.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2023Article
- Optimization of electromyographic endotracheal tube electrode position by UEScope for monitored thyroidectomy.Laryngoscope investigative otolaryngology · 2021Article
- Informed Consent for Intraoperative Neural Monitoring in Thyroid and Parathyroid Surgery - Consensus Statement of the International Neural Monitoring Study Group.Frontiers in endocrinology · 2021Review
- New Developments in Anterior Laryngeal Recording Technique During Neuromonitored Thyroid and Parathyroid Surgery.Frontiers in endocrinology · 2021Review
- Recent Developments of Intraoperative Neuromonitoring in Thyroidectomy.Sisli Etfal Hastanesi tip bulteni · 2021Review
- A New Era of Intraoperative Neuromonitoring: Beyond the Electromyography Endotracheal Tube During Thyroid Surgery.Clinical and experimental otorhinolaryngology · 2020Article
- The transcutaneous electromyography recording method for intraoperative neuromonitoring of recurrent laryngeal nerve during minimally invasive parathyroidectomy.Scientific reports · 2020Article
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Authors and funding
7 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlternative methods to overcome limitations of electromyogram (EMG) tube applied for intraoperative neuromonitoring (IONM) of recurrent laryngeal nerve (RLN) during thyroidectomy have been introduced. In this study, we evaluated the feasibility of adhesive skin electrodes for IONM of RLN in patients who underwent thyroidectomy.
methodsA total of 39 nerves at risk were prospectively enrolled in this study. Twenty-five patients with papillary thyroid carcinoma, 3 patients with follicular neoplasm, and 2 patients with Graves' disease underwent thyroidectomy. All patients were intubated with EMG tube, and two disposable pre-gelled surface electrodes were attached to skin at both upper margins of thyroid cartilage. We followed the standard procedure of IONM, and the latency (msec) and amplitude (μV) of each signal were recorded prospectively.
resultsIntraoperative neuromonitoring using skin adhesive electrodes was successful in all nerves at risk. Amplitudes of the signals in IONM were significantly lower compared to those from EMG tube at each step of IONM, while no significant difference was identified in latency between two methods. Four nerves at risk (10.3%) showed loss of signal (<100 μV) during the steps of IONM from EMG tube, while all nerves at risk from adhesive skin electrodes showed acceptable biphasic EMG signal.
conclusionWe verified the usefulness of adhesive skin electrodes for IONM of RLN during thyroidectomy. Although lower amplitude remains the major limitation of this technique, adhesive skin electrodes may be considered an alternative method for IONM during thyroidectomy.
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