Recurrent Laryngeal Nerve Monitoring: State of the Art, Ethical and Legal Issues

被引:58
作者
Angelos, Peter [1 ]
机构
[1] Univ Chicago, MacLean Ctr Clin Med Eth, Sect Gen Surg & Surg Oncol, Chicago, IL 60637 USA
关键词
Recurrent laryngeal nerve monitoring; Ethical issues in neuromonitoring; Legal issues in neuromonitoring; THYROID-SURGERY; RISK-FACTORS; IDENTIFICATION; INJURY; STIMULATION; PARALYSIS; PALSY; GLAND; EXPERIENCE; ELECTRODE;
D O I
10.1016/j.suc.2009.06.010
中图分类号
R61 [外科手术学];
学科分类号
100210 [外科学];
摘要
Despite many advances in surgical techniques during the last several decades, the risk for recurrent laryngeal nerve (RLN) injury during thyroid and parathyroid surgery has only declined, not disappeared. RLN monitoring is an attempt to reduce the risk of nerve injury during thyroid and parathyroid surgery. In this article, the author discusses how to use RLN monitoring, its effectiveness, and the options available. He also highlights potential legal and ethical issues that surround the use of this method.
引用
收藏
页码:1157 / +
页数:14
相关论文
共 63 条
[1]
The NIM-2 nerve integrity monitor in thyroid and parathyroid surgery [J].
Barwell, J ;
Lytle, J ;
Page, R ;
Wilkins, D .
BRITISH JOURNAL OF SURGERY, 1997, 84 (06) :854-854
[2]
Evaluation of intraoperative recurrent nerve monitoring in thyroid surgery [J].
Beldi, G ;
Kinsbergen, T ;
Schlumpf, R .
WORLD JOURNAL OF SURGERY, 2004, 28 (06) :589-591
[3]
Identification of the non-recurrent inferior laryngeal nerve using intraoperative neurostimulation [J].
Brauckhoff, M ;
Walls, G ;
Brauckhoff, K ;
Thanh, PN ;
Thomusch, O ;
Dralle, H .
LANGENBECKS ARCHIVES OF SURGERY, 2002, 386 (07) :482-487
[4]
First experiences in intraoperative neurostimulation of the recurrent laryngeal nerve during thyroid surgery of children and adolescents [J].
Brauckhoff, M ;
Gimm, O ;
Thanh, PN ;
Brauckhoff, K ;
Ukkat, J ;
Thomusch, O ;
Dralle, H .
JOURNAL OF PEDIATRIC SURGERY, 2002, 37 (10) :1414-1418
[5]
Prospective analysis of the efficacy of continuous intraoperative nerve monitoring during thyroidectomy, parathyroidectomy, and parotidectomy [J].
Brennan, J ;
Moore, EJ ;
Shuler, KJ .
OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 2001, 124 (05) :537-543
[6]
Chabot JA, 2006, SURGERY, V140, P872
[7]
The role of intraoperative neuromonitoring of recurrent laryngeal nerve during thyroidectomy: A comparative study on 1000 nerves at risk [J].
Chan, Wai-Fan ;
Lang, Brian Hung-Hin ;
Lo, Chung-Yau .
SURGERY, 2006, 140 (06) :866-872
[8]
Pitfalls of intraoperative neuromonitoring for predicting postoperative recurrent laryngeal nerve function during thyroidectomy [J].
Chan, WF ;
Lo, CY .
WORLD JOURNAL OF SURGERY, 2006, 30 (05) :806-812
[9]
The mechanism of recurrent laryngeal nerve injury during thyroid surgery - The application of intraoperative neuromonitoring [J].
Chiang, Feng-Yu ;
Lu, I-Chen ;
Kuo, Wen-Rei ;
Lee, Ka-Wo ;
Chang, Ning-Chia ;
Wu, Che-Wei .
SURGERY, 2008, 143 (06) :743-749
[10]
Computer-assisted evoked electromyography with stimulating surgical instruments for recurrent/external laryngeal nerve identification and preservation in thyroid and parathyroid operation [J].
Dackiw, APB ;
Rotstein, LE ;
Clark, OH .
SURGERY, 2002, 132 (06) :1100-1106