Amit Ritter1,2, Ian Ganly3, Richard J Wong3, Gregory W Randolph4, Thomas Shpitzer1,2, Gideon Bachar1,2, Aviram Mizrachi1,2. 1. Department of Otolaryngology-Head and Neck Surgery, Rabin Medical Center, Petah Tikva, Israel. 2. Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. 3. Head and Neck Service, Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, New York. 4. Comprehensive Otolaryngology Division and the Thyroid & Parathyroid Endocrine Surgical Division, Massachusetts Eye and Ear Infirmary and Harvard Medical School, Boston, Massachusetts.
Abstract
BACKGROUND: The data on the advantages of intraoperative nerve monitoring (IONM) during thyroid surgeries is inconsistent. Our objective was to study the patterns of use of IONM in thyroid surgery among American Head and Neck Society (AHNS) members. METHOD: A web-based survey was e-mailed to all members of the AHNS. RESULTS: A total of 275 surgeons completed the survey. Seventy-two percent reported using IONM routinely. Routine use of IONM was associated with longer period in practice. Twenty-one percent only used IONM selectively in high-risk cases. Most surgeons would consider aborting the procedure in cases of loss of signal without continuing to the contralateral side. Finally, only 19% of surgeons attempt to identify the external branch of the superior laryngeal nerve (EBSLN). CONCLUSIONS: The majority of AHNS surgeons routinely use IONM during thyroid surgery as a real-time decision-making tool. However, IONM for preservation of the EBSLN is underutilized.
BACKGROUND: The data on the advantages of intraoperative nerve monitoring (IONM) during thyroid surgeries is inconsistent. Our objective was to study the patterns of use of IONM in thyroid surgery among American Head and Neck Society (AHNS) members. METHOD: A web-based survey was e-mailed to all members of the AHNS. RESULTS: A total of 275 surgeons completed the survey. Seventy-two percent reported using IONM routinely. Routine use of IONM was associated with longer period in practice. Twenty-one percent only used IONM selectively in high-risk cases. Most surgeons would consider aborting the procedure in cases of loss of signal without continuing to the contralateral side. Finally, only 19% of surgeons attempt to identify the external branch of the superior laryngeal nerve (EBSLN). CONCLUSIONS: The majority of AHNS surgeons routinely use IONM during thyroid surgery as a real-time decision-making tool. However, IONM for preservation of the EBSLN is underutilized.
Authors: Luca Revelli; Pierpaolo Gallucci; Maria Raffaella Marchese; Nikolaos Voloudakis; Sofia Di Lorenzo; Claudio Montuori; Lucia D'Alatri; Francesco Pennestri; Carmela De Crea; Marco Raffaelli Journal: World J Surg Date: 2022-10-12 Impact factor: 3.282