지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한이비인후과학회 Clinical and Experimental Otorhinolaryngology Clinical and Experimental Otorhinolaryngology 제13권 제3호
- 발행연도
- 2020.1
- 수록면
- 291 - 298 (8page)
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초록· 키워드
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Objectives. The loss of signal during intraoperative neuromonitoring (IONM) using electromyography (EMG) in thyroidectomy is one of the biggest problems. We have developed a novel IONM system with an endotracheal tube (ETT) with an attached pressure sensor instead of EMG to detect laryngeal twitching. The aim of the present study was to investigate the feasibility and reliability of this novel IONM system using an ETT with pressure sensor during thyroidectomy in a porcine model. Methods. We developed an ETT-attached pressure sensor that uses the piezoelectric effect to measure laryngeal muscle twitching. Stimulus thresholds, amplitude, and latency of laryngeal twitching evaluated using the pressure sensor were compared to those measured using transcartilage needle EMG. The measured amplitude changes by EMG and the pressure sensor during recurrent laryngeal nerve (RLN) traction injury were compared. Results. No significant differences in stimulus threshold intensity between EMG and the pressure sensor were observed. The EMG amplitude detected at 0.3 mA, increased with increasing stimulus intensity. When the stimulus was more than 1.0 mA, the amplitude showed a plateau. In a RLN traction injury experiment, the EMG amplitude did not recover even 20 minutes after stopping RLN traction. However, the pressure sensor showed a mostly recovery. Conclusion. The change in amplitude due to stimulation of the pressure sensor showed a pattern similar to EMG. Pressure sensors can be feasibly and reliably used for RLN traction injury prediction, RLN identification, and preservation through the detection of laryngeal muscle twitching. Our novel IONM system that uses an ETT with an attached pressure sensor to measure the change of surface pressure can be an alternative to EMG in the future.
목차
등록된 정보가 없습니다.
참고문헌 (37)
참고문헌 신청
Haugen BR / 2016 / 2015 American Thyroid Association Management Guidelines for Adult Patients with Thyroid Nodules and Differentiated Thyroid Cancer : The American Thyroid Association Guidelines Task Force on Thyroid Nodules and Differentiated Thyroid Cancer / Thyroid 26(1):1~133
Chandrasekhar SS / 2013 / Clinical practice guideline: improving voice outcomes after thyroid surgery / Otolaryngol Head Neck Surg 148(6 Suppl):S1~S37
Jeannon JP / 2009 / Diagnosis of recurrent laryngeal nerve palsy after thyroidectomy : a systematic review / Int J Clin Pract 63(4):624~629
Riddell V / 1970 / Thyroidectomy: prevention of bilateral recurrent nerve palsy. Results of identification of the nerve over 23 consecutive years (1946-69) with a description of an additional safety measure / Br J Surg 57(1):1~11
Hermann M / 2002 / Laryngeal recurrent nerve injury in surgery for benign thyroid diseases : effect of nerve dissection and impact of individual surgeon in more than 27, 000 nerves at risk / Ann Surg 235(2):261~268
Chandrasekhar SS / 2013 / Clinical practice guideline: improving voice outcomes after thyroid surgery / Otolaryngol Head Neck Surg 148(6 Suppl):S1~S37
Jeannon JP / 2009 / Diagnosis of recurrent laryngeal nerve palsy after thyroidectomy : a systematic review / Int J Clin Pract 63(4):624~629
Riddell V / 1970 / Thyroidectomy: prevention of bilateral recurrent nerve palsy. Results of identification of the nerve over 23 consecutive years (1946-69) with a description of an additional safety measure / Br J Surg 57(1):1~11
Hermann M / 2002 / Laryngeal recurrent nerve injury in surgery for benign thyroid diseases : effect of nerve dissection and impact of individual surgeon in more than 27, 000 nerves at risk / Ann Surg 235(2):261~268
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