Intraoperative nerve monitoring is used routinely by a significant majority of head and neck surgeons in thyroid surgery and impacts on extent of surgery - Survey of the American Head and Neck Society Journal Article

  

Authors:	Ritter, A.; Ganly, I.; Wong, R. J.; Randolph, G. W.; Shpitzer, T.; Bachar, G.; Mizrachi, A.
Article Title:	Intraoperative nerve monitoring is used routinely by a significant majority of head and neck surgeons in thyroid surgery and impacts on extent of surgery - Survey of the American Head and Neck Society
Abstract:	Background: The data on the advantages of intraoperative nerve monitoring (IONM) during thyroid surgeries is inconsistent. Our objective was to study the patterns of use of IONM in thyroid surgery among American Head and Neck Society (AHNS) members. Method: A web-based survey was e-mailed to all members of the AHNS. Results: A total of 275 surgeons completed the survey. Seventy-two percent reported using IONM routinely. Routine use of IONM was associated with longer period in practice. Twenty-one percent only used IONM selectively in high-risk cases. Most surgeons would consider aborting the procedure in cases of loss of signal without continuing to the contralateral side. Finally, only 19% of surgeons attempt to identify the external branch of the superior laryngeal nerve (EBSLN). Conclusions: The majority of AHNS surgeons routinely use IONM during thyroid surgery as a real-time decision-making tool. However, IONM for preservation of the EBSLN is underutilized. © 2020 Wiley Periodicals, Inc.
Keywords:	surgeon; thyroidectomy; neck; decision making; head and neck; recurrent laryngeal nerve; survey; superior laryngeal nerve; human; article; intraoperative nerve monitoring
Journal Title:	Head & Neck
Volume:	42
Issue:	8
ISSN:	1043-3074
Publisher:	John Wiley & Sons, Inc.
Date Published:	2020-08-01
Start Page:	1757
End Page:	1764
Language:	English
DOI:	10.1002/hed.26093
PUBMED:	32026528
PROVIDER:	scopus
DOI/URL:	https://www.scopus.com/inward/record.uri?eid=2-s2.0-85079039311&doi=10.1002%2fhed.26093&partnerID=40&md5=a0c141453f81c2807d6457ed80300ede
Notes:	Article -- Export Date: 3 August 2020 -- Source: Scopus

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