Advancements in intraoperative neuromonitoring for recurrent laryngeal nerve preservation in parathyroidectomy

• 발행기관: 대한신경모니터링학회
• 저자명: Ken Woo
• 간행물 정보: 『Journal of Neuromonitoring & Neurophysiology』Vol.5 No.1, 51~60쪽, 전체 10쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2025.05.31

국문 초록

Parathyroidectomy is a pivotal surgical intervention for managing hyperparathyroidism, necessitating meticulous precision to preserve adjacent neural structures, particularly the recurrent laryngeal nerve. Intraoperative neuromonitoring (IONM) has emerged as an essential tool in minimizing nerve injury during parathyroidectomy. This review critically evaluates current neuromonitoring strategies, assessing their effectiveness in enhancing nerve preservation. It explores various IONM modalities, including intermittent and continuous monitoring, and examines their integration into surgical protocols. Additionally, advancements in neurophysiological monitoring technologies are discussed, highlighting their impact on surgical outcomes and patient quality of life. Integrated case studies illustrate the practical applications and outcomes of IONM in parathyroidectomy. Furthermore, an analysis of future directions explores potential innovations and improvements in neuromonitoring techniques. By synthesizing existing literature, clinical practices, and empirical evidence, this manuscript underscores the indispensable role of IONM in optimizing parathyroidectomy procedures, aiming to enhance patient safety and postoperative outcomes.

목차

Introduction

Neuromonitoring Techniques in Parathyroidectomy

Protocols for Nerve Identification and Preservation

Efficacy of Intraoperative Neuromonitoring in Nerve Preservation

Technological Advancements in Neuromonitoring

Outcomes and Clinical Implications

Challenges and Limitations

Conclusion

Funding

Conflict of Interest

Data Availavility

Author Contributions

ORCID

References

키워드

Parathyroidectomy Intraoperative neuromonitoring Recurrent laryngeal nerve Electromyography Surgical outcomes