갑상선 수술 중 신경모니터링의 표준화된 단계

Standardized Procedure of Intraoperative Neuromonitoring during Thyroid Surgery

Intraoperative neuromonitoring (IONM) during thyroid surgery may be beneficial to identify and preserve the recurrent laryngeal nerve or the external branch of superior laryngeal nerve. However, false positive or false negative outcomes during IONM has been considered as limitations and lead to failure of successful IONM. To minimize such failures, experts in IONM during thyroid surgery have suggested to follow the standardized procedure of IONM, which begins and ends with supra-threshold vagal stimulation. In this article, tips to follow the procedure will be introduced with review of related studies.