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 Journal Article


Authors: 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.; Hartl, D.; Kamani, D.; Kandil, E.; Kyriazidis, N.; Liddy, W.; Miyauchi, A.; Orloff, L.; Rastatter, J. C.; Scharpf, J.; Serpell, J.; Shin, J. J.; Sinclair, C. F.; Stack, B. C. Jr; Tolley, N. S.; Van Slycke, S.; Snyder, S. K.; Urken, M. L.; Volpi, E.; Witterick, I.; Wong, R. J.; Woodson, G.; Zafereo, M.; Randolph, G. W.
Article 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. © 2018 The American Laryngological, Rhinological and Otological Society, Inc.
Keywords: vocal cord paralysis; recurrent laryngeal nerve; thyroid surgery; thyroid malignancy; nerve resection; bilateral surgery; intraoperative neuromonitoring; invaded nerve; nerve preservation; only functional nerve
Journal Title: Laryngoscope
Volume: 128
Issue: Suppl. 3
ISSN: 0023-852X
Publisher: Wiley Blackwell  
Date Published: 2018-10-01
Start Page: S18
End Page: S27
Language: English
DOI: 10.1002/lary.27360
PUBMED: 30291765
PROVIDER: scopus
DOI/URL:
Notes: Review -- For "International Neural Monitoring Study Group guideline 2018 part I: Staging bilateral thyroid surgery with monitoring loss of signal", see https://synapse.mskcc.org/synapse/works/134985 -- Export Date: 3 December 2018 -- Source: Scopus
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  1. Richard J Wong
    411 Wong