Abstract
The purpose of this publication was to inform surgeons as to the modern state-of-the-art evidence-based guidelines for management of the recurrent laryngeal nerve invaded by malignancy through blending the domains of 1) surgical intraoperative information, 2) preoperative glottic function, and 3) intraoperative real-time electrophysiologic information. These guidelines generated by the International Neural Monitoring Study Group (INMSG) are envisioned to assist the clinical decision-making process involved in recurrent laryngeal nerve management during thyroid surgery by incorporating the important information domains of not only gross surgical findings but also intraoperative recurrent laryngeal nerve functional status and preoperative laryngoscopy findings. These guidelines are presented mainly through algorithmic workflow diagrams for convenience and the ease of application. These guidelines are published in conjunction with the INMSG Guidelines Part I: Staging Bilateral Thyroid Surgery With Monitoring Loss of Signal. Level of Evidence: 5. Laryngoscope, 128:S18–S27, 2018.
Original language | English (US) |
---|---|
Pages (from-to) | S18-S27 |
Journal | Laryngoscope |
Volume | 128 |
DOIs | |
State | Published - Oct 2018 |
Funding
Editor’s Note: This Manuscript was received on February 27, 2018, revised on April 22, 2018, and accepted for publication on May 24, 2018. This work was supported by the John and Claire Bertucci Thyroid Research Fund. The authors have no other funding, financial relationships, or conflicts of interest to disclose. Send correspondence to Gregory W. Randolph, MD, Massachusetts Eye and Ear, 243 Charles Street, Boston, MA 02114. E-mail: [email protected]
Keywords
- Thyroid malignancy
- bilateral surgery
- intraoperative neuromonitoring
- invaded nerve
- nerve preservation
- nerve resection
- only functional nerve
- recurrent laryngeal nerve
- thyroid surgery
- vocal cord paralysis
ASJC Scopus subject areas
- Otorhinolaryngology