Department of Otolaryngology - Head & Neck Surgery, Icahn School of Medicine at Mount Sinai, One Gustave L Levy Place, Box 1189, Annenberg 10-40, New York, NY 10029, USA.
Department of Surgery, Monash University, Melbourne, Victoria, Australia; Department of Otolaryngology - Head & Neck Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA; Melbourne Thyroid Surgery, 159 Wattletree Road, Malvern, Victoria 3144, Australia.
Otolaryngol Clin North Am. 2024 Feb;57(1):53-61. doi: 10.1016/j.otc.2023.08.002. Epub 2023 Sep 9.
Intraoperative neuromonitoring (IONM) of the laryngeal nerves has become an important tool for neck endocrine surgery. In this article, the authors review the current evidence behind its use in neck endocrine procedures. The subtypes of IONM, including intermittent IONM, continuous vagal IONM (vagal-CIONM), and laryngeal adductor reflex CIONM, will be discussed. Finally, the authors review recent advances in IONM, and how standardization of outcomes reporting will help minimise conjecture regarding the usefulness of IONM.
术中喉返神经监测（IONM）已成为颈部内分泌手术的重要工具。本文作者回顾了其在颈部内分泌手术中应用的现有证据。将讨论 IONM 的亚类，包括间歇性 IONM、连续迷走神经 IONM（vagal-CIONM）和喉内收肌反射 CIONM。最后，作者回顾了 IONM 的最新进展，以及如何标准化结果报告将有助于减少对 IONM 有用性的猜测。
