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 Hartl; Dipti 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

doi:10.1002/lary.27360

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

Otolaryngology

Research output: Contribution to journal › Review article › peer-review

132 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 language	English (US)
Pages (from-to)	S18-S27
Journal	Laryngoscope
Volume	128
DOIs	https://doi.org/10.1002/lary.27360
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

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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Wu, C. W., Dionigi, G., Barczynski, M., Chiang, F. Y., Dralle, H., Schneider, R., Al-Quaryshi, Z., Angelos, P., Brauckhoff, K., Brooks, J. A., Cernea, C. R., Chaplin, J., Chen, A. Y., Davies, L., Diercks, G. R., Duh, Q. Y., Fundakowski, C., Goretzki, P. E., Hales, N. W., ... Randolph, G. W. (2018). 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. Laryngoscope, 128, S18-S27. https://doi.org/10.1002/lary.27360

@article{254ce8452d774e2fb3602e705d8cf1c4,

title = "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",

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.",

keywords = "Thyroid malignancy, bilateral surgery, intraoperative neuromonitoring, invaded nerve, nerve preservation, nerve resection, only functional nerve, recurrent laryngeal nerve, thyroid surgery, vocal cord paralysis",

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

note = "Publisher Copyright: {\textcopyright} 2018 The American Laryngological, Rhinological and Otological Society, Inc.",

year = "2018",

month = oct,

doi = "10.1002/lary.27360",

language = "English (US)",

volume = "128",

pages = "S18--S27",

journal = "Laryngoscope",

issn = "0023-852X",

publisher = "Wiley-Blackwell",

}

Wu, CW, Dionigi, G, Barczynski, M, Chiang, FY, Dralle, H, Schneider, R, Al-Quaryshi, Z, Angelos, P, Brauckhoff, K, Brooks, JA, Cernea, CR, Chaplin, J, Chen, AY, Davies, L, Diercks, GR, Duh, QY, Fundakowski, C, Goretzki, PE, Hales, NW, Hartl, D, Kamani, D, Kandil, E, Kyriazidis, N, Liddy, W, Miyauchi, A, Orloff, L, Rastatter, JC, Scharpf, J, Serpell, J, Shin, JJ, Sinclair, CF, Stack, BC, Tolley, NS, Slycke, SV, Snyder, SK, Urken, ML, Volpi, E, Witterick, I, Wong, RJ, Woodson, G, Zafereo, M & Randolph, GW 2018, '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', Laryngoscope, vol. 128, pp. S18-S27. https://doi.org/10.1002/lary.27360

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. / Wu, Che Wei; Dionigi, Gianlorenzo; Barczynski, Marcin et al.
In: Laryngoscope, Vol. 128, 10.2018, p. S18-S27.

Research output: Contribution to journal › Review article › peer-review

TY - JOUR

T1 - International neuromonitoring study group guidelines 2018

T2 - Part II: Optimal recurrent laryngeal nerve management for invasive thyroid cancer—incorporation of surgical, laryngeal, and neural electrophysiologic data

AU - Wu, Che Wei

AU - Dionigi, Gianlorenzo

AU - Barczynski, Marcin

AU - Chiang, Feng Yu

AU - Dralle, Henning

AU - Schneider, Rick

AU - Al-Quaryshi, Zaid

AU - Angelos, Peter

AU - Brauckhoff, Katrin

AU - Brooks, Jennifer A.

AU - Cernea, Claudio R.

AU - Chaplin, John

AU - Chen, Amy Y.

AU - Davies, Louise

AU - Diercks, Gill R.

AU - Duh, Quan Yang

AU - Fundakowski, Christopher

AU - Goretzki, Peter E.

AU - Hales, Nathan W.

AU - Hartl, Dana

AU - Kamani, Dipti

AU - Kandil, Emad

AU - Kyriazidis, Natalia

AU - Liddy, Whitney

AU - Miyauchi, Akira

AU - Orloff, Lisa

AU - Rastatter, Jeff C.

AU - Scharpf, Joseph

AU - Serpell, Jonathan

AU - Shin, Jennifer J.

AU - Sinclair, Catherine F.

AU - Stack, Brendan C.

AU - Tolley, Neil S.

AU - Slycke, Sam Van

AU - Snyder, Samuel K.

AU - Urken, Mark L.

AU - Volpi, Erivelto

AU - Witterick, Ian

AU - Wong, Richard J.

AU - Woodson, Gayle

AU - Zafereo, Mark

AU - Randolph, Gregory W.

PY - 2018/10

Y1 - 2018/10

N2 - 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.

AB - 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.

KW - Thyroid malignancy

KW - bilateral surgery

KW - intraoperative neuromonitoring

KW - invaded nerve

KW - nerve preservation

KW - nerve resection

KW - only functional nerve

KW - recurrent laryngeal nerve

KW - thyroid surgery

KW - vocal cord paralysis

UR - http://www.scopus.com/inward/record.url?scp=85054545719&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85054545719&partnerID=8YFLogxK

U2 - 10.1002/lary.27360

DO - 10.1002/lary.27360

M3 - Review article

C2 - 30291765

AN - SCOPUS:85054545719

SN - 0023-852X

VL - 128

SP - S18-S27

JO - Laryngoscope

JF - Laryngoscope

ER -

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

Abstract

Funding

Keywords

ASJC Scopus subject areas

UN SDGs

Access to Document

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Cite this