Surgical anatomy and neurophysiology of the vagus nerve (VN) for standardised intraoperative neuromonitoring (IONM) of the inferior laryngeal nerve (ILN) during thyroidectomy
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- 作者：Gianlorenzo Dionigi ; Feng-Yu Chiang ; Stefano Rausei ; Che-Wei Wu ; Luigi Boni ; Ka-Wo Lee ; Francesca Rovera ; Giovanni Cantone and Alessandro Bacuzzi
- 关键词：Thyroid surgery ; Neuromonitoring ; Vagus nerve ; Recurrent laryngeal nerve ; Morbidity
- 刊名：Langenbeck's Archives of Surgery
- 出版年：2010
- 出版时间：September 2010
- 年：2010
- 卷：395
- 期：7
- 页码：893-899
- 全文大小：708.0 KB
文摘
Background Standardisation of the intraoperative neuromonitoring (IONM) technique is a fundamental aspect in monitored thyroid surgery. Vagal nerve (VN) stimulation is essential for problem solving, recognition of any inferior laryngeal nerve (ILN) lesions and prediction of ILN post-operative function. Issues that have been overlooked in the literature, particularly in terms of prospective approaches, are the topographic relationship of the VN with the carotid and jugular vessels as well as the neurophysiology of the VN and ILN that have been studied, with a prospective approach, in patients with various thyroid diseases.