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 language | English (US) |
---|---|
Pages (from-to) | S1-S17 |
Journal | Laryngoscope |
Volume | 128 |
DOIs | |
State | Published - Oct 2018 |
Funding
This study was supported by The John and Claire Bertucci Thyroid Research Fund. Michael Singer, MD, is a consultant for Medtronic, Inc. The authors have no other funding, financial relationships, or conflicts of interest to disclose.
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