J Cancer Metastasis Treat 2021;7:[Accepted].10.20517/2394-4722.2021.122@The Author(s) 2021
Intraoperative monitoring of the Recurrent Laryngeal Nerve in surgeries for thyroid cancer: a review
Correspondence Address: Dr. Mitali Dandekar, Department of Surgical Oncology, Paras Cancer Centre, Paras HMRI Hospital, Bailey Road, Patna 800014, India. E-mail: firstname.lastname@example.org; ORCID id: 0000-0002-8435-4249
Received: 24 May 2021 | Revised: 26 Jul 2021 | Accepted: 4 Aug 2021 | First online: 8 Sep 2021
AbstractIntraoperative nerve monitoring (IONM) has evolved into an objective tool not only for the identification but also for the preservation and prognostication of function of the Recurrent laryngeal nerve (RLN) in thyroid surgeries. Technical improvements have resulted in the increasing incorporation of IONM into operating rooms around the world. The importance of adherence to recommended standards is also recognized as being vital in optimizing the efficacy of IONM. The advent of continuous IONM (CIONM) has made real-time nerve monitoring possible, thus providing the surgeon with an ally in difficult surgeries. Additionally, as thyroid surgeries are evolving into remote access and minimally invasive procedures, so also is the applicability of IONM. This review focuses on the use of IONM for nerve monitoring in thyroidectomies for neoplastic conditions while discussing the rationale, technique, and interpretation of findings and their implications.
KeywordsIntraoperative nerve monitoring, thyroidectomy, recurrent laryngeal nerve, electromyography, vagus nerve
Cite This Article
Priya SR, Garg S, Dandekar M. Intraoperative monitoring of the Recurrent Laryngeal Nerve in surgeries for thyroid cancer: a review. J Cancer Metastasis Treat 2021;7:[Accept]. http://dx.doi.org/10.20517/2394-4722.2021.122