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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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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 제4호
- 발행연도
- 2020.1
- 수록면
- 422 - 428 (7page)
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Objectives. This study was conducted evaluate the efficacy of electromyography (EMG) using transcartilaginous (TC) electrodes through the thyroid cartilage and perichondrium. Methods. We prospectively collected EMG data from intraoperative neuromonitoring (IONM) of 54 nerves at risk in 38 patients during thyroidectomy. We followed standardized IONM procedures in all operations. EMG signals from both endotracheal tube (ET) electrodes and TC needle electrodes were recorded simultaneously. We compared the characteristics of the EMG signals and the efficacy of both methods. Results. Significantly higher mean EMG amplitudes were recorded by TC electrodes than by ET electrodes in all four-step procedures (V1-R1-R2-V2, P<0.001). Loss of signal (LOS) occurred in five patients in ET electrodes, but in only two patients in TC electrodes. Postoperative laryngoscopy revealed recurrent laryngeal nerve palsy in the two patients who showed LOS from both the ET and TC electrodes, and vocal cord movement was intact in the other three patients. Therefore, the positive predictive values of LOS in ET and TC electrodes were 40% and 100%, respectively. Conclusion. EMG recording using TC needle electrodes is feasible and effective, making it a good alternative technique for IONM.
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참고문헌 (44)
참고문헌 신청
Vasileiadis I / 2016 / Association of intraoperative neuromonitoring with reduced recurrent laryngeal nerve injury in patients undergoing total thyroidectomy / JAMA Otolaryngol Head Neck Surg 142(10):994~1001
Riddell VH / 1956 / Injury to recurrent laryngeal nerves during thyroidectomy; a comparison between the results of identification and non-identification in 1022 nerves exposed to risk / Lancet 271(6944):638~641
Jatzko GR / 1994 / Recurrent nerve palsy after thyroid operations--principal nerve identification and a literature review / Surgery 115(2):139~144
Witt RL / 2005 / Recurrent laryngeal nerve electrophysiologic monitoring in thyroid surgery: the standard of care? / J Voice 19(3):497~500
Chan WF / 2006 / The role of intraoperative neuromonitoring of recurrent laryngeal nerve during thyroidectomy : a comparative study on 1000 nerves at risk / Surgery 140(6):866~872
Riddell VH / 1956 / Injury to recurrent laryngeal nerves during thyroidectomy; a comparison between the results of identification and non-identification in 1022 nerves exposed to risk / Lancet 271(6944):638~641
Jatzko GR / 1994 / Recurrent nerve palsy after thyroid operations--principal nerve identification and a literature review / Surgery 115(2):139~144
Witt RL / 2005 / Recurrent laryngeal nerve electrophysiologic monitoring in thyroid surgery: the standard of care? / J Voice 19(3):497~500
Chan WF / 2006 / The role of intraoperative neuromonitoring of recurrent laryngeal nerve during thyroidectomy : a comparative study on 1000 nerves at risk / Surgery 140(6):866~872
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