Recurrent Laryngeal Nerve Intraoperative Neuromonitoring Indications in Non-Thyroid and Non-Parathyroid Surgery

Introperative nerve monitoring (IONM) of the recurrent laryngeal nerve (RLN) is a well-established technique to aid in thyroid/parathyroid surgery. However, there is little evidence to support its use in non-thyroid or non-parathyroid surgery. The aim of this paper was to review the current evidence...

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Detalhes bibliográficos
Autores: Brunet, Aina|||0000-0003-0713-3765, Rovira, Aleix|||0000-0001-8736-4963, Quer, Miquel|||0000-0003-2563-6729, Sanabria, Alvaro|||0000-0002-5563-8840, Guntinas-Lichius, Orlando|||0000-0001-9671-0784, Zafereo, Mark, Hartl, Dana M.|||0000-0003-1161-5628, Coca-Pelaz, Andrés|||0000-0003-1363-8559, Shaha, Ashok R.|||0000-0001-7478-9436, Marie, Jean-Paul|||0000-0003-2907-8947, Vander Poorten, Vincent|||0000-0003-1341-829X, Piazza, Cesare|||0000-0002-2391-9357, Kowalski, Luiz Paulo|||0000-0002-0481-156X, Randolph, Gregory W.|||0000-0001-5373-9181, Shah, Jatin P.|||0000-0002-6444-6592, Rinaldo, Alessandra|||0000-0001-7956-6709, Simo, Ricard
Tipo de documento: artigo
Data de publicação:2024
País:España
Recursos:Universitat Autònoma de Barcelona
Repositório:Dipòsit Digital de Documents de la UAB
Idioma:inglês
OAI Identifier:oai:ddd.uab.cat:291894
Acesso em linha:https://ddd.uab.cat/record/291894
https://dx.doi.org/urn:doi:10.3390/jcm13082221
Access Level:Acceso aberto
Palavra-chave:Intraoperative nerve monitoring
Oesophagus
Recurrent laryngeal nerve
Recurrent laryngeal nerve palsy
Trachea
Descrição
Resumo:Introperative nerve monitoring (IONM) of the recurrent laryngeal nerve (RLN) is a well-established technique to aid in thyroid/parathyroid surgery. However, there is little evidence to support its use in non-thyroid or non-parathyroid surgery. The aim of this paper was to review the current evidence regarding the use of IONM in non-thyroid/non-parathyroid surgery in the head and neck and thorax. A literature search was performed from their inception up to January 2024, including the term "recurrent laryngeal nerve monitoring". IONM in non-thyroid/non-parathyroid surgery has mainly been previously described in oesophageal surgery and in tracheal resections. However, there is little published evidence on the role of IONM with other resections in the vicinity of the RLN. Current evidence is low-level for the use of RLN IONM in non-thyroid/non-parathyroid surgery. However, clinicians should consider its use in surgery for pathologies where the RLN is exposed and could be injured.