International neural monitoring study group guideline 2018 part I: Staging bilateral thyroid surgery with monitoring loss of signal

Rick Schneider, Gregory W. Randolph*, Gianlorenzo Dionigi, Che Wei Wu, Marcin Barczynski, Feng Yu Chiang, Zaid Al-Quaryshi, Peter Angelos, Katrin Brauckhoff, Claudio R. Cernea, John Chaplin, Jonathan Cheetham, Louise Davies, Peter E. Goretzki, Dana Hartl, Dipti Kamani, Emad Kandil, Natalia Kyriazidis, Whitney Liddy, Lisa OrloffJoseph Scharpf, Jonathan Serpell, Jennifer J. Shin, Catherine F. Sinclair, Michael C. Singer, Samuel K. Snyder, Neil S. Tolley, Sam Van Slycke, Erivelto Volpi, Ian Witterick, Richard J. Wong, Gayle Woodson, Mark Zafereo, Henning Dralle

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

48 Scopus citations

Abstract

This publication offers modern, state-of-the-art International Neural Monitoring Study Group (INMSG) guidelines based on a detailed review of the recent monitoring literature. The guidelines outline evidence-based definitions of adverse electrophysiologic events, especially loss of signal, and their incorporation in surgical strategy. These recommendations are designed to reduce technique variations, enhance the quality of neural monitoring, and assist surgeons in the clinical decision-making process involved in surgical management of recurrent laryngeal nerve. The guidelines are published in conjunction with the INMSG Guidelines Part II, Optimal Recurrent Laryngeal Nerve Management for Invasive Thyroid Cancer–Incorporation of Surgical, Laryngeal, and Neural Electrophysiologic Data. Laryngoscope, 128:S1–S17, 2018.

Original languageEnglish (US)
Pages (from-to)S1-S17
JournalLaryngoscope
Volume128
DOIs
StatePublished - Oct 2018

Keywords

  • IONM
  • Thyroid surgery
  • bilateral thyroid surgery
  • intraoperative neural monitoring
  • laryngeal exam
  • loss of signal
  • staged surgery
  • vocal cord paralysis

ASJC Scopus subject areas

  • Otorhinolaryngology

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