Innovations in monitoring of recurrent laryngeal nerve in thyroidectomy surgeries

Öz

Tiroidektomi ameliyatlarında en sık görülen komplikasyonlardan biri recurrent laryngeal sinir hasarıdır. İntraoperatif nöral monitorizasyon uygulamasının bu komplikasyonların azaltılmasında önemli katkısı vardır. Çalışmamızda son yıllarda bu yöntemle ilgili ortaya çıkarılan yenilikleri kısaca gözden geçirdik. Yaptığımız çalışmanın sonuçlarına göre, tiroidektomi ve recurrent laryngeal sinire yakın bölgelerde yapılan bazı ameliyatlarda intraoperatif nöral monitorizasyon uygulamalarında ve anestezide ortaya çıkarılan yenilikler, bu uygulamanın daha etkili ve ucuz maliyetle yapılmasına yol açmıştır.

Anahtar Kelimeler

• Tiroidektomi ameliyatı
• recurrent laryngeal sinir
• monitorizasyon.

Kaynakça

1. 1. Acar H. (2011):Tiroid ve Paratiroid Cerrahisi. Mükay offset Matbaacılık. (3rd ed). Ankara. ISBN: 978-605-61078-01.
2. 2. Duong W, Grigorian A, Farzaneh C, Elfenbein D, Yamamoto M, Rosenbaum K, et al. (2022). Nerve monitoring decreases recurrent laryngeal nerve injury risk for neoplasm-related thyroidectomy.The American Journal of Surgery. 223(5):918-922.
3. 3. Çomşalı B, Saylam B, Özdemir BA (2022). The effect of intraoperative neuromonitoring on the number of lymph nodes excised and recurrence when applied during neck dissection in cases of papillary thyroid cancer. Ann Surg Treat Res. 102(2):83-89. doi: 10.4174/astr.2022.102.2.83.
4. 4. Chen B, Yang T, Wang W, Tang W, Xie J, Kang M (2023). Application of Intraoperative Neuromonitoring (IONM) of the Recurrent Laryngeal Nerve during Esophagectomy: A Systematic Review and Meta-Analysis. J.Clin. Med.12(2):565. doi: 10.3390/jcm12020565.
5. 5. Niljianskul N, Phoominaonin S, Jaiimsin A (2023). Intraoperative Monitoring of the Recurrent Laryngeal Nerve with Electromyography Endotracheal Tube in Anterior Cervical Discectomy and Fusion. World Neurosurgery.17:100141. doi: 10.1016/j.wnsx.2022.100141.
6. 6. Türk Y, Kıvratma G, Özdemir M, İçöz G, Makay Ö (2021). The use of thyroid cartilage needle electrodes in intraoperative neuromonitoring during thyroidectomy: Case–control study. Head & Neck.43(11):3287-3293. doi: 10.1002/hed.26810.
7. 7. Peng L, Liang QZ, Wang DL, Han B, Yi X, Wei W (2019). Modified arytenoid muscle electrode recording method for neuromonitoring during thyroidectomy. Gland Surg.8(5):469-476. doi: 10.21037/gs.2019.08.07.
8. 8. Lee HS, Oh J, Kim SW, Jeong YW, Wu CW, Chiang FY, et al (2020). Intraoperative Neuromonitoring of Recurrent Laryngeal Nerve During Thyroidectomy with Adhesive Skin Electrodes. World Journal of Surgery.44:148-154.

9. 9. Karpathiotakis M, D’Orazi V, Ortensi A, Biancucci A,Melcarne R, Borcea MN, et al(2022). Intraoperative Neuromonitoring and Optical Magnification in the Prevention of Recurrent Laryngeal Nerve Injuries during Total Thyroidectomy. Journals Medicina.58(11). https://doi.org/10.3390/medicina58111560.
10. 10. Fu J, Zhao Y, Sun H, Fu Q, Du R, Zhang S, et al (2022). The feasibility of laryngeal nerve protection during thyroidectomy using sternocleidomastoid intermuscular approach with intraoperative neuromonitoring: a case series and step-by-step description of surgical procedure. Gland Surg.11(10):1665-1672. doi: 10.21037/gs-22-500.
11. 11. Kong DK, Kong AM, Chai RL (2022). Comparison of a Handheld Device vs Endotracheal Tube–Based Neuromonitoring for Recurrent Laryngeal Nerve Stimulation. Otolaryn. Head and Neck Surg.166(2). doi: 10.1177/01945998211013753.
12. 12. Pace-Asciak P, Russell JO, Dhillon VK (2022). Intraoperative Neuromonitoring: Evaluating the Role of Continuous IONM and IONM Techniques for Emerging Surgical and Percutaneous Procedures. Front Endocrinol.13:823117. https://doi.org/10.3389/fendo.2022.823117.
13. 13. Shin SC, Sung ES, Kwon HK, Cheon Y, Lee M, Lee JC, et al (2022). Investigation of attachment location of adhesive skin electrodes for intraoperative neuromonitoring in thyroid surgery: Preclinical and clinical studies. Surgery.171(2):377-383. doi: 10.1016/j.surg.2021.07.037.
14. 14. Baychorov EK, Kazeev DA, Uzdenov NA (2021). The advantage of the combined use of intraoperative neuromonitoring and percutaneous ultrasonography of the larynx as a screening for postoperative vocal cord paresis. Endocrine Surgery.15(4). https://doi.org/10.14341/serg12766.
15. 15. Hassan I, Hassan L, Gamal I, Ibrahim M, Omer AR (2022). Abu Dhabi Neural Mapping (ADNM) during Minimally Invasive Thyroidectomy Enables the Early Identification of Non-Recurrent Laryngeal Nerve and Prevents Voice Dysfunction. J Clin. Med.11(19). doi: 10.3390/jcm11195677.
16. 16. Tseng HY, Huang TY, Lin YC, Wang JJ, Ko HY, Chuang CY, et al (2022). Safety Parameters of QuantumMolecular Resonance DevicesDuring Thyroid Surgery: Porcine Model Using Continuous Neuromonitoring. Frontiers in Endocrinology.13:924731. https://doi.org/10.3389/fendo.2022.924731.
17. 17. Ling AOL, Toong LY, Shahrizal TA, Dato’Omar T, Ghauth S (2023). Effectiveness of Direct Transcricothyroid Electromyographic Monitoring in Thyroidectomy Surgery. Indian J Otolaryngol Head Neck Surg. https://doi.org/10.1007/s12070-022-03336-2.
18. 18. Kriege M, Hilt JA, Dette F, Wittenmeier E, Meuser R, Staubitz JI, et al (2023). Impact of direct laryngoscopy vs. videolaryngoscopy on signal quality of recurrent laryngeal nerve monitoring in thyroid surgery: a randomised parallel group trial. Anesthesia.78(1):55-63. doi: 10.1111/anae.15865.
19. 19. Hsieh CH, Tan H, Huang HF, Huang TY, Wu CW, Chang PY, et al (2022). Optimization of Intraoperative Neural Monitoring of the Recurrent Laryngeal Nerve in Thyroid Surgery. Medicina.58(4). doi: 10.3390/medicina58040495.
20. 20. Oh MY, Chai YJ, Huang TY, Wu CW, Dionigi G, Kim HY, et al (2022). Administration of neostigmine after tracheal intubation shortens time to successful intraoperative neuromonitoring during thyroid surgery: a randomized controlled trial. Scientific Reports.12:16797. doi: 10.1038/s41598-022-21282-5.
21. 21. Li X, Zhang B, Tan H (2020). Influence of Sevoflurane-Based Anesthesia versus Total Intravenous Anesthesia on Intraoperative Neuromonitoring during Thyroidectomy. Otolaryngology–Head and Neck Surgery.162(6). doi: 10.1177/0194599820912030.
22. 22. Li X, Zhang B, Xu G, Song Y, Yu L, Yang J, et al (2021). Dosage effect of cisatracurium on intubation and intraoperative neuromonitoring during thyroidectomy: a randomized controlled trial. Gland Surg.10(7):2150-2158. doi: 10.21037/gs-21-109.
23. 23. Graceffa G, Vieni S, Mannino V, Gennari V, Genova P, Cipolla C (2022). Effectiveness of early administration of a single dose of steroids and escin after loss of signal on electromyographic signal recovery during neuromonitored thyroidectomy. The American Journal of Surgery.223(5):923-926. doi: 10.1016/j.amjsurg.2021.10.016.