Neuromonitoring in transoral endoscopic thyroidectomy for recurrent laryngeal nerve preservation

• 발행기관: 대한신경모니터링학회
• 저자명: Ken Woo
• 간행물 정보: 『Journal of Neuromonitoring & Neurophysiology』Vol.5 No.2, 109~118쪽, 전체 10쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2025.11.30

국문 초록

Transoral endoscopic thyroidectomy vestibular approach (TOETVA) is a novel scarless thyroid surgery that presents unique challenges for preserving the recurrent laryngeal nerve (RLN). Ensuring RLN integrity during TOETVA is paramount to avoid complications such as vocal cord paralysis and dysphonia. Intraoperative neuromonitoring (IONM) has emerged as an essential adjunct to optimize nerve identification and preservation in thyroid surgery. This review critically examines neuromonitoring strategies in the context of TOETVA, evaluating the use of intermittent versus continuous nerve monitoring and their integration into the transoral surgical workflow. Advances in neuromonitoring technology are also discussed, highlighting their potential to improve surgical precision and patient outcomes. Representative case studies and current evidence are synthesized to illustrate the practical benefits and limitations of IONM in TOETVA. By analyzing the existing literature and clinical practices, this review underscores the crucial role of IONM in enhancing the safety and efficacy of the transoral thyroidectomy approach while maintaining a formal, evidence-based perspective.

목차

Introduction

Neuromonitoring Techniques in Transoral Thyroidectomy

Efficacy of Intraoperative Neuromonitoring in Nerve Preservation

Outcomes and Clinical Implications

Discussion

Conclusion

Funding

Conflict of Interest

Data Availability

Author Contributions

ORCID

References

키워드

Thyroidectomy Electrophysiology Recurrent laryngeal nerve Electromyography General surgery