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Clarifying optimal outcome measures in intermittent and continuous laryngeal neuromonitoring.
Sinclair, Catherine F; Buczek, Erin; Cottril, Elizabeth; Angelos, Peter; Barczynski, Marcin; Ho, Allen S; Makarin, Viktor; Musholt, Thomas; Scharpf, Joseph; Schneider, Rick; Stack, Brendan C; Tellez, Maria J; Tolley, Neil; Woodson, Gayle; Wu, Che Wei; Randolph, Gregory.
Afiliação
  • Sinclair CF; Department of Otolaryngology Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
  • Buczek E; Department of Otolaryngology Head and Neck Surgery, The University of Alabama at Birmingham, Birmingham, Alabama, USA.
  • Cottril E; Department of Otolaryngology Head and Neck Surgery, Jefferson University, Philadelphia, Pennsylvania, USA.
  • Angelos P; Department of Surgery, University of Chicago, Chicago, Illinois, USA.
  • Barczynski M; Department of Endocrine Surgery, Jagiellonian University Medical College, Krakow, Poland.
  • Ho AS; Department of Otolaryngology Head and Neck Surgery, Cedars-Sinai Medical Center, Los Angeles, California, USA.
  • Makarin V; Saint Petersburg State University Hospital, Saint Petersburg, Russian Federation.
  • Musholt T; Department of Endocrine Surgery, Gutenberg University Mainz, Mainz, Germany.
  • Scharpf J; Department of Otolaryngology Head and Neck Surgery, Cleveland Clinic, Cleveland, Ohio, USA.
  • Schneider R; Department of Visceral, Vascular and Endocrine Surgery, Martin Luther University of Halle-Wittenberg, Halle, Germany.
  • Stack BC; Department of Otolaryngology Head and Neck Surgery, Southern Illinois University School of Medicine, Springfield, Illinois, USA.
  • Tellez MJ; Department of Neurosurgery, Mount Sinai Hospital, New York, New York, USA.
  • Tolley N; Department of Otolaryngology Head and Neck Surgery, Imperial College Healthcare NHS Trust, London, UK.
  • Woodson G; Department of Otolaryngology Head and Neck Surgery, Drexel University College of Medicine, Philadelphia, Pennsylvania, USA.
  • Wu CW; Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
  • Randolph G; Department of Otolaryngology Head and Neck Surgery, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts, USA.
Head Neck ; 44(2): 460-471, 2022 02.
Article em En | MEDLINE | ID: mdl-34850992
ABSTRACT

BACKGROUND:

Intraoperative neuromonitoring (IONM) techniques have evolved over the past decade into intermittent IONM (I-IONM) and continuous IONM (C-IONM) modes of application. Despite many prior publications on both types of IONM, there remains uncertainty about what outcomes should be measured for each form of IONM. The primary objective of this paper is to define categories of benefit for I-IONM/C-IONM and to clarify and standardize their reporting outcomes.

METHODS:

Expert review consensus statement utilizing modified Delphi methodology.

RESULTS:

I-IONM provides diagnosis, classification, and prevention of nerve injury through accurate and early nerve identification. C-IONM provides real-time information on nerve functional integrity and thus may prevent some types of nerve injury but cannot assist in nerve localization. Sudden mechanisms of nerve injury cannot be predicted or prevented by either technique.

CONCLUSIONS:

I-IONM and C-IONM are complementary techniques. Future studies evaluating the utility of IONM should focus on outcomes that are appropriate to the type of IONM being utilized.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Paralisia das Pregas Vocais / Traumatismos do Nervo Laríngeo Recorrente / Laringe Tipo de estudo: Prognostic_studies Limite: Humans Idioma: En Ano de publicação: 2022 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Paralisia das Pregas Vocais / Traumatismos do Nervo Laríngeo Recorrente / Laringe Tipo de estudo: Prognostic_studies Limite: Humans Idioma: En Ano de publicação: 2022 Tipo de documento: Article