International neural monitoring study group guideline 2018 part I: Staging bilateral thyroid surgery with monitoring loss of signal. (5th October 2018)

• Record Type: Journal Article
• Authors: Schneider, Rick; Randolph, Gregory W.; Dionigi, Gianlorenzo; Wu, Che‐Wei; Barczynski, Marcin; Chiang, Feng‐Yu; Al‐Quaryshi, Zaid; Angelos, Peter; Brauckhoff, Katrin; Cernea, Claudio R.; Chaplin, John; Cheetham, Jonathan; Davies, Louise; Goretzki, Peter E.; Hartl, Dana; Kamani, Dipti; Kandil, Emad; Kyriazidis, Natalia; Liddy, Whitney; Orloff, Lisa; Scharpf, Joseph; Serpell, Jonathan; Shin, Jennifer J.; Sinclair, Catherine F.; Singer, Michael C.; Snyder, Samuel K.; Tolley, Neil S.; Van Slycke, Sam; Volpi, Erivelto; Witterick, Ian; Wong, Richard J.; Woodson, Gayle; Zafereo, Mark; Dralle, Henning;
• Is Part Of: Laryngoscope. Volume 128(2018)Supplement 3
• Page Start: S1
• Page End: S17
• Publication Date: 2018-10-05
• Subjects: Thyroid surgery -- intraoperative neural monitoring -- IONM -- vocal cord paralysis -- loss of signal -- laryngeal exam -- bilateral thyroid surgery -- staged surgery; Otolaryngology -- Periodicals; 617.51005
• DOI: 10.1002/lary.27359
• Languages: English
• ISSNs: 0023-852X

Abstract

Abstract : This publication offers modern, state‐of‐the‐art International Neural Monitoring Study Group (INMSG) guidelines based on a detailed review of the recent monitoring literature. The guidelines outline evidence‐based definitions of adverse electrophysiologic events, especially loss of signal, and their incorporation in surgical strategy. These recommendations are designed to reduce technique variations, enhance the quality of neural monitoring, and assist surgeons in the clinical decision‐making process involved in surgical management of recurrent laryngeal nerve. The guidelines are published in conjunction with the INMSG Guidelines Part II, Optimal Recurrent Laryngeal Nerve Management for Invasive Thyroid Cancer–Incorporation of Surgical, Laryngeal, and Neural Electrophysiologic Data. Laryngoscope, 128:S1–S17, 2018