在经口腔前庭入路甲状腺手术（TOETVA）过程中对喉返神经进行术中神经监测。
Intraoperative neuromonitoring of the RLNs during TOETVA procedures.
作者信息
Erol Varlık, Dionigi Gianlorenzo, Barczyński Marcin, Zhang Daqi, Makay Özer
机构信息
Department of General Surgery, Zubeyde Hanim Practice and Research Center, Baskent University, Izmir, Turkey.
Division for Endocrine and Minimally Invasive Surgery, Department of Human Pathology in Adulthood and Childhood ''G. Barresi'', University Hospital G. Martino, University of Messina, Messina, Italy.
出版信息
Gland Surg. 2020 Feb;9(Suppl 2):S129-S135. doi: 10.21037/gs.2019.11.21.
Transoral endoscopic thyroidectomy by vestibular approach (TOETVA) is now being performed in increasing frequency and getting more and more attention. TOETVA is carried out through three incisions in the oral vestibular area. Thyroidectomy is performed endoscopically using conventional laparoscopic instruments, an energy based device and neuromonitoring instruments. Intraoperative neuromonitoring is one of the tools of utmost importance, used for navigation and confirmation of the functional integrity of the recurrent nerve during TOETVA. The aim of this study is to give information about the standards and technique of intraoperative neuromonitoring of the recurrent laryngeal nerves during TOETVA procedures. TOETVA is a safe technique with no visible scarring and hence resulting in an excellent cosmetic effect. We believe that neuromonitoring of the recurrent laryngeal nerves also minimizes the risk of nerve damage and is an essential safety component in this technique.
经口前庭入路内镜甲状腺切除术（TOETVA）目前的实施频率越来越高，也越来越受到关注。TOETVA通过口腔前庭区域的三个切口进行。甲状腺切除术在内镜下使用传统的腹腔镜器械、能量设备和神经监测器械进行。术中神经监测是极其重要的工具之一，用于TOETVA过程中喉返神经功能完整性的导航和确认。本研究的目的是提供有关TOETVA手术中喉返神经术中神经监测的标准和技术的信息。TOETVA是一种安全的技术，没有可见的疤痕，因此具有极佳的美容效果。我们认为，喉返神经的神经监测也将神经损伤的风险降至最低，是该技术中必不可少的安全组成部分。
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