Advances in intraoperative neuromonitoring for thyroid surgery: from electromyography tubes to sensor-based alternatives

• 발행기관: 대한신경모니터링학회
• 저자명: Seung Hoon Woo
• 간행물 정보: 『Journal of Neuromonitoring & Neurophysiology』Vol.5 No.1, 35~39쪽, 전체 5쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2025.05.31

국문 초록

Intraoperative neuromonitoring (IONM) plays a pivotal role in thyroid surgery, particularly for preventing recurrent laryngeal nerve (RLN) injury. While electromyography (EMG) tubes remain standard, newer sensor-based methods are emerging. To evaluate current EMG-based IONM techniques and highlight alternative approaches involving pressure and accelerometer sensors, needle electrodes, and surface monitoring, a comprehensive review of literature and comparative analysis was performed. EMG tube monitoring, though widely adopted, is susceptible to signal loss. Supplementary technologies like piezoelectric and accelerometer sensors offer improved signal stability. Needle and surface electrodes present feasible alternatives with added cost benefits and procedural flexibility. Evolving IONM modalities provide safer and more effective solutions for RLN preservation in thyroid surgery. These methods hold promise for expanding access and improving surgical outcomes.

목차

Introduction

Electromyography Tube-Based Intraoperative Neuromonitoring

Supplementary Monitoring with Pressure and Accelerometer Sensors

Emerging Alternatives: Needle and Surface Electrodes

Conclusion

Funding

Conflict of Interest

Data Availavility

Author Contributions

ORCID

References

키워드

Accelerometer Intraoperative neuromonitoring Pressure sensor Recurrent laryngeal nerve Thyroid surgery