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首页> 外文期刊>The Laryngoscope: A Medical Journal for Clinical and Research Contributions in Otolaryngology, Head and Neck Medicine and Surgery, Facial Plastic and Reconstructive Surgery .. >External Branch of the Superior Laryngeal Nerve Monitoring During Thyroid and Parathyroid Surgery: International Neural Monitoring Study Group Standards Guideline Statement
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External Branch of the Superior Laryngeal Nerve Monitoring During Thyroid and Parathyroid Surgery: International Neural Monitoring Study Group Standards Guideline Statement

机译：甲状腺和甲状旁腺外科高级喉神经监测的外部分支：国际神经监测研究组标准指南陈述

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摘要

Intraoperative neural monitoring (IONM) during thyroid surgery has gained widespread acceptance as an adjunct to the gold standard of visual identification of the recurrent laryngeal nerve (RLN). Contrary to routine dissection of the RLN, most surgeons tend to avoid rather than routinely expose and identify the external branch of the superior laryngeal nerve (EBSLN) during thyroidectomy or parathyroidectomy. IONM has the potential to be utilized for identification of the EBSLN and functional assessment of its integrity; therefore, IONM might contribute to voice preservation following thyroidectomy or parathyroidectomy. We reviewed the literature and the cumulative experience of the multidisciplinary International Neural Monitoring Study Group (INMSG) with IONM of the EBSLN. A systematic search of the MEDLINE database (from 1950 to the present) with predefined search terms (EBSLN, superior laryngeal nerve, stimulation, neuromonitoring, identification) was undertaken and supplemented by personal communication between members of the INMSG to identify relevant publications in the field. The hypothesis explored in this review is that the use of a standardized approach to the functional preservation of the EBSLN can be facilitated by application of IONM resulting in improved preservation of voice following thyroidectomy or parathyroidectomy. These guidelines are intended to improve the practice of neural monitoring of the EBSLN during thyroidectomy or parathyroidectomy and to optimize clinical utility of this technique based on available evidence and consensus of experts.
机译：在甲状腺手术期间的术中神经监测（IONM）已经获得了广泛的喉部视觉鉴定的金标准（RLN）的辅助验收。与RLN的常规解剖相反，大多数外科医生倾向于避免，而不是经常暴露和识别甲状腺切除术或甲状旁腺切除术期间优质喉神经（EBSLN）的外部分支。 IONM具有可用于识别EBSLN的识别和其完整性的功能评估;因此，IONM可能会导致甲状腺切除术或甲族酶切除术后的语音保存。我们审查了多学科国际神经监测研究组（INMSG）的文献和累积体验，具有EBSLN的IONM。通过预定义的搜索术语（EBSLN，优越的喉部神经，刺激，神经监测，识别，识别）进行系统搜索并通过INMSG成员之间的个人沟通来讨论该领域的相关出版物的个人沟通。本综述中探索的假设是通过施用IONM可以促进使用标准化方法来促进EBSLN的功能保存，从而改善甲状腺切除术或甲脱石裂隙切除术后的声音保存。这些指导方针旨在改善甲状腺切除术期间EBSLN的神经监测的实践，并根据可用证据和专家共识，优化该技术的临床效用。

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