신호소실과 단계적 갑상선절제술

• 영문명: Loss of signal and staged thyroidectomy
• 발행기관: 대한신경모니터링학회
• 저자명: 지용배(Yong Bae Ji)
• 간행물 정보: 『Journal of Neuromonitoring & Neurophysiology』Vol.2 No.2, 13~18쪽, 전체 6쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2022.11.30

영문 초록

Intraoperative nerve monitoring (IONM) provides dynamic neural information and is recommended for high-risk thyroid surgery. If RLN is severely injured during the operation, most nerve fibers do not transmit nerve impulse and substantial decrease of EMG amplitude or loss of signal (LOS) will occur. However, surgeon should differentiate the true LOS from false LOS, because it can be false due to various reason. If LOS is true, the decision to perform contralateral surgery to prevent bilateral vocal cord paralysis should be prudent. The updated causes, algorithm, and management of LOS during IONM and potential benefit of staged thyroidectomy are reviewed and summarized.

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키워드

Thyroidectomy Thyroid surgery Intraoperative neuromonitoring Recurrent laryngeal nerve Vocal cord palsy