美国头颈外科学会的调查显示，绝大多数头颈外科医生在甲状腺手术中常规使用术中神经监测，这对手术范围有影响。
Intraoperative nerve monitoring is used routinely by a significant majority of head and neck surgeons in thyroid surgery and impacts on extent of surgery-Survey of the American Head and Neck Society.
作者信息
Ritter Amit, Ganly Ian, Wong Richard J, Randolph Gregory W, Shpitzer Thomas, Bachar Gideon, Mizrachi Aviram
机构信息
Department of Otolaryngology-Head and Neck Surgery, Rabin Medical Center, Petah Tikva, Israel.
Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
出版信息
Head Neck. 2020 Aug;42(8):1757-1764. doi: 10.1002/hed.26093. Epub 2020 Feb 6.
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.
背景
关于甲状腺手术中术中神经监测（IONM）优势的数据并不一致。我们的目的是研究美国头颈协会（AHNS）成员在甲状腺手术中使用IONM的模式。
方法
通过电子邮件向AHNS的所有成员发送了一项基于网络的调查。
结果
共有275名外科医生完成了调查。72%的人报告常规使用IONM。IONM的常规使用与更长的执业年限相关。21%的人仅在高危病例中选择性地使用IONM。大多数外科医生会在信号丢失的情况下考虑中止手术，而不继续处理对侧。最后，只有19%的外科医生试图识别喉上神经外支（EBSLN）。
结论
大多数AHNS外科医生在甲状腺手术中常规使用IONM作为实时决策工具。然而，用于保留EBSLN的IONM未得到充分利用。
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