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Vagus nerve stimulation for standardized monitoring: technical notes for conventional and endoscopic thyroidectomy. | LitMetric
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Vagus nerve stimulation for standardized monitoring: technical notes for conventional and endoscopic thyroidectomy.

Gianlorenzo Dionigi Hoon Yub Kim Che-Wei Wu Matteo Lavazza Cesare Ferrari Andrea Leotta Sebastiano Spampatti Francesca Rovera Stefano Rausei Luigi Boni Feng-Yu Chiang

Surg Technol Int

Department of Otolaryngology Kaohsiung Medical University Hospital Kaohsiung Medical University Kaohsiung City, Taiwan.

Published: September 2013

Standardization of the intraoperative neuromonitoring (IONM) technique is an essential aspect of modern monitored thyroid surgery. The standardized technique involves vagal nerve stimulation. VN stimulation is useful for technical problem solving, detecting non-recurrent laryngeal nerve (non-RLN), recognizing any recurrent laryngeal nerve (RLN) lesions, and precisely predicting RLN postoperative function. Herein, we present technical notes for the VN identification to achieve the critical view of safety of the VN stimulation with or without dissection.

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