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Electrophysiologic Laryngeal Nerve Monitoring in High-Risk Thyroid Surgery

2005; SAGE Publishing; Volume: 84; Issue: 6 Linguagem: Inglês

10.1177/014556130508400621

1942-7522

Phillip C. Song, Larry Shemen,

Voice and Speech Disorders

We recently began performing intraoperative electrophysiologic monitoring of the recurrent laryngeal nerve and the external branch of the superior laryngeal nerve during high-risk thyroidectomies. Neuromonitoring can detect stimulation of these nerves and thereby prevent a mechanical or thermal injury that can result in neurapraxia or axonotmesis. Monitoring is also useful during dissection in an already operated-on field, when performing thyroidectomy on patients who depend on their voice for their livelihood, and when removing a large goiter or mediastinal mass.