Recurrent laryngeal nerve intraoperative neuromonitoring indications in non-thyroid and non-parathyroid surgery Review
| Authors: | Brunet, A.; Rovira, A.; Quer, M.; Sanabria, A.; Guntinas-Lichius, O.; Zafereo, M.; Hartl, D. M.; Coca-Pelaz, A.; Shaha, A. R.; Marie, J. P.; Vander Poorten, V.; Piazza, C.; Kowalski, L. P.; Randolph, G. W.; Shah, J. P.; Rinaldo, A.; Simo, R. |
| Review Title: | Recurrent laryngeal nerve intraoperative neuromonitoring indications in non-thyroid and non-parathyroid surgery |
| Abstract: | 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. © 2024 by the authors. |
| Keywords: | review; head and neck surgery; surgical anatomy; thorax surgery; video assisted thoracoscopic surgery; recurrent laryngeal nerve; trachea; recurrent laryngeal nerve palsy; esophagus surgery; trachea resection; neuromonitoring; human; oesophagus; neurogenic tumor; intraoperative nerve monitoring; zenker diverticulum |
| Journal Title: | Journal of Clinical Medicine |
| Volume: | 13 |
| Issue: | 8 |
| ISSN: | 2077-0383 |
| Publisher: | MDPI |
| Date Published: | 2024-04-02 |
| Start Page: | 2221 |
| Language: | English |
| DOI: | 10.3390/jcm13082221 |
| PROVIDER: | scopus |
| PMCID: | PMC11050584 |
| PUBMED: | 38673494 |
| DOI/URL: | |
| Notes: | Review -- Source: Scopus |
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