갑상선 수술 중 바늘과 피부 전극을 이용한 새로운 신경감시술
Intraoperative Neuromonitoring System Using Needle and Skin Electrode during Thyroid Surgery
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Intraoperative neuromonitorng (IONM) has gained wide acceptance as a useful adjunct in identifying andpreserving of recurrent laryngeal nerve (RLN) during thyroid surgery. The electromyographic endotracheal tube(EMG-ETT) method is the most widely used and well-validated method for thyroid IONM; however, malpositioningof the tube is a critical shortcoming of the EMG-ETT method. This is the main reason for the low positive predictivevalue of IONM in thyroid surgery. Needle and skin electrodes can obtain EMG signal regardless of patient positionand are easy to apply during surgery and is economical compared to EMG-ETT method. New IONM system usingneedle or skin electrodes would be an alternative method which can overcome shortcomings of EMG-ETT.
Abstract
Intraoperative neuromonitorng (IONM) has gained wide acceptance as a useful adjunct in identifying andpreserving of recurrent laryngeal nerve (RLN) during thyroid surgery. The electromyographic endotracheal tube(EMG-ETT) method is the most widely used and well-validated method for thyroid IONM; however, malpositioningof the tube is a critical shortcoming of the EMG-ETT method. This is the main reason for the low positive predictivevalue of IONM in thyroid surgery. Needle and skin electrodes can obtain EMG signal regardless of patient positionand are easy to apply during surgery and is economical compared to EMG-ETT method. New IONM system usingneedle or skin electrodes would be an alternative method which can overcome shortcomings of EMG-ETT.
참고문헌 (25)
- Chiang FY, "Recurrent laryngeal nerve palsy after thyroidectomy with routine identification of the recurrent laryngeal nerve", Surgery, 137(3), pp.342~347 (2005)
- Chiang FY, "The mechanism of recurrent laryngeal nerve injury during thyroid surgery--the application of intraoperative neuromonitoring", Surgery, 143(6), pp.743~749 (2008)
- Chiang FY, "Intraoperative neuromonitoring for early localization and identification of recurrent laryngeal nerve during thyroid surgery", Kaohsiung J Med Sci, 26(12), pp.633~639 (2010)
- Randolph GW, "Electrophysiologic recurrent laryngeal nerve monitoring during thyroid and parathyroid surgery : international standards guideline statement", Laryngoscope, 121(Suppl 1), pp.S1~S16 (2011)
- Bai B, "Protective effects of intraoperative nerve monitoring(IONM)for recurrent laryngeal nerve injury in thyroidectomy : meta-analysis", Sci Rep, 8(1), pp.7761~ (2018)
- 신성찬, "갑상선수술에서 수술 중 신경 감시의 유용성", 임상이비인후과, 29(2), pp.157~161 (2018), 대한이비인후과학회 부산,울산,경남 지부회[DOI]
- Dralle H, "Intraoperative monitoring of the recurrent laryngeal nerve in thyroid surgery", World J Surg, 32(7), pp.1358~1366 (2008)
- Chiang FY, "Comparison of EMG signals recorded by surface electrodes on endotracheal tube and thyroid cartilage during monitored thyroidectomy", Kaohsiung J Med Sci, 33(10), pp.503~509 (2017)
- 이형신, "갑상선 수술에서 술 중 신경모니터링의 셋업과 문제 해결", 임상이비인후과, 29(2), pp.162~166 (2018), 대한이비인후과학회 부산,울산,경남 지부회[DOI]
- 성의숙, "갑상선 수술을 위한 새로운 수술 중 신경감시시스템의개발", International Journal of Thyroidology, 11(2), pp.109~116 (2018), 대한갑상선학회[DOI]
- Liu CH, "New developments in anterior laryngeal recording technique during neuromonitored thyroid and parathyroid surgery", Front Endocrinol(Lausanne), 12, pp.763170~ (2021)
- Wu CW, "Feasibility of intraoperative neuromonitoring during thyroid surgery using transcartilage surface recording electrodes", Thyroid, 28(11), pp.1508~1516 (2018)
- 정선민, "Efficacy of Transcartilaginous Electrodes for Intraoperative Neural Monitoring During Thyroid Surgery", Clinical and Experimental Otorhinolaryngology, 13(4), pp.422~428 (2020), 대한이비인후과학회[DOI]
- Zhao Y, "Experimental study of needle recording electrodes placed on the thyroid cartilage for neuromonitoring during thyroid surgery", Br J Surg, 106(3), pp.245~254 (2019)
- Liddy W, "Anterior laryngeal electrodes for recurrent laryngeal nerve monitoring during thyroid and parathyroid surgery : new expanded options for neural monitoring", Laryngoscope, 128(12), pp.2910~2915 (2018)
- Zhao Y, "Proprieties of adhesive surface arrays to thyroid cartilage for recurrent laryngeal nerve monitoring", Ann Transl Med, 9(8), pp.690~ (2021)
- Huang TY, "Full percutaneous intraoperative neuromonitoring technique in remote thyroid surgery : porcine model feasibility study", Head Neck, 43(2), pp.505~513 (2021)
- Li P, "The transcutaneous electromyography recording method for intraoperative neuromonitoring of recurrent laryngeal nerve during minimally invasive parathyroidectomy", Sci Rep, 10(1), pp.7609~ (2020)
- Wu CW, "Transcutaneous recording during intraoperative neuromonitoring in thyroid surgery", Thyroid, 28(11), pp.1500~1507 (2018)
- Lee HS, "Intraoperative neuromonitoring of recurrent laryngeal nerve during thyroidectomy with adhesive skin electrodes", World J Surg, 44(1), pp.148~154 (2020)
- Shin SC, "Investigation of attachment location of adhesive skin electrodes for intraoperative neuromonitoring in thyroid surgery : preclinical and clinical studies", Surgery, 171(2), pp.377~383 (2022)
- Yang Y-C, "MXene nanosheet-based microneedles for monitoring muscle contraction and electrostimulation treatment", ACS Applied Nano Materials, 4(8), pp.7917~7924 (2021)
- 성의숙, "Development of a Novel Intraoperative Neuromonitoring System Using a Surface Pressure Sensor to Detect Muscle Movement: A Rabbit Model Study", Clinical and Experimental Otorhinolaryngology, 12(2), pp.217~223 (2019), 대한이비인후과학회[DOI]
- 성의숙, "Development of a Novel Intraoperative Neuromonitoring System Using an Accelerometer Sensor in Thyroid Surgery: A Porcine Model Study", Clinical and Experimental Otorhinolaryngology, 12(4), pp.420~426 (2019), 대한이비인후과학회[DOI]
- 성의숙, "Application of Novel Intraoperative Neuromonitoring System Using an Endotracheal Tube With Pressure Sensor During Thyroid Surgery: A Porcine Model Study", Clinical and Experimental Otorhinolaryngology, 13(3), pp.291~298 (2020), 대한이비인후과학회[DOI]