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Influence of Anesthesiology Protocol on the Quality of Intraoperative Nerve Monitoring During Thyroid Surgery, One-Year Single Center Experience.
Diagnostics (Basel)
October 2024
Medical Faculty, University of Belgrade, 11000 Belgrade, Serbia.
Article Synopsis
- Anesthesia is crucial for intraoperative neuromonitoring (IONM) during thyroid and parathyroid surgeries, as this study investigates its effects on signal quality.
- The study involved 72 patients and compared the impact of two muscle relaxants—succinylcholine and rocuronium bromide—while using either total intravenous anesthesia (TIVA) or combined anesthesia.
- Results showed that unwanted movements occurred more frequently with TIVA and succinylcholine, but the type of anesthesia maintenance and muscle relaxant did not significantly affect nerve signal quality.
Superior laryngeal artery originating from the lingual artery.
Surg Radiol Anat
May 2024
Division of Anatomy, Department 1, Faculty of Dentistry, Carol Davila" University of Medicine and Pharmacy, 050474, Bucharest, Romania.
In most cases, the superior laryngeal artery (SLA) branches from the superior thyroid artery, which, in turn, leaves the external carotid artery. Few dissection studies found previously that the SLA could originate from the lingual artery. We report here probably the first evidence of such a rare anatomical variation found unilaterally in a retrospectively evaluated by computed tomography angiography adult male case.
View Article and Find Full Text PDFTransoral Flexible Laser Surgery of the Larynx with Blue Laser.
J Clin Med
August 2023
Department of Otorhinolaryngology, Hospital Universitario de Fuenlabrada, Universidad Rey Juan Carlos, 28042 Madrid, Spain.
Introduction: Laser surgery of the larynx is currently the standard of clinical practice in a multitude of procedures. Lasers with photoangiolytic properties have a wide application in endolaryngeal lesions. One of their most prominent features is the ability to coagulate blood vessels, reducing unwanted tissue damage.
View Article and Find Full Text PDFLocal anesthesia with blue-dyed lidocaine for a better patient's tolerance during office-based laryngology procedures: how I do it.
Eur Arch Otorhinolaryngol
November 2023
Department of Oto-Rhino-Laryngology and Head and Neck Surgery, AP-HM, La Conception University Hospital, Aix-Marseille University, 147 Boulevard Baille, 13385 CEDEX 5, Marseille, France.
Background: In-office laryngological procedures became common alternatives to general anesthesia for biopsies, injection laryngoplasties, and laser procedures. The limiting step remains the laryngeal anesthesia whose quality can influence patients' and operators' comfort.
Methods: We propose to dye the lidocaine with methylene blue and do an instillation through a catheter introduced in the video-endoscope's operating channel, which permits a progressive anesthesia focused on the larynx, avoiding an unwanted pharyngeal anesthesia and any tracheal irritation.
Organotopic organization of the porcine mid-cervical vagus nerve.
Front Neurosci
May 2023
Department of Medical Physics and Biomedical Engineering, University College London, London, United Kingdom.
Introduction: Despite detailed characterization of fascicular organization of somatic nerves, the functional anatomy of fascicles evident in human and large mammal cervical vagus nerve is unknown. The vagus nerve is a prime target for intervention in the field of electroceuticals due to its extensive distribution to the heart, larynx, lungs, and abdominal viscera. However, current practice of the approved vagus nerve stimulation (VNS) technique is to stimulate the entire nerve.
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