International neuromonitoring study group guidelines 2018: Part II: Optimal recurrent laryngeal nerve management for invasive thyroid cancer—incorporation of surgical, laryngeal, and neural electrophysiologic data

Che Wei Wu, Gianlorenzo Dionigi, Marcin Barczynski, Feng Yu Chiang, Henning Dralle, Rick Schneider, Zaid Al-Quaryshi, Peter Angelos, Katrin Brauckhoff, Jennifer A. Brooks, Claudio R. Cernea, John Chaplin, Amy Y. Chen, Louise Davies, Gill R. Diercks, Quan Yang Duh, Christopher Fundakowski, Peter E. Goretzki, Nathan W. Hales, Dana HartlDipti Kamani, Emad Kandil, Natalia Kyriazidis, Whitney Liddy, Akira Miyauchi, Lisa Orloff, Jeff C. Rastatter, Joseph Scharpf, Jonathan Serpell, Jennifer J. Shin, Catherine F. Sinclair, Brendan C. Stack, Neil S. Tolley, Sam Van Slycke, Samuel K. Snyder, Mark L. Urken, Erivelto Volpi, Ian Witterick, Richard J. Wong, Gayle Woodson, Mark Zafereo, Gregory W. Randolph*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

59 Scopus citations

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 languageEnglish (US)
Pages (from-to)S18-S27
JournalLaryngoscope
Volume128
DOIs
StatePublished - Oct 2018

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

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