4df5571ce219207b3c21a211020fef31 pmc_11050584.pdf 9bf6598f82c5255723a4c2de271bbdb475867695 pmc_11050584.pdf 29f3f158ee29f1fd3438c4eeabff34363da70ecba79c7245397f02a3d6da70b6 pmc_11050584.pdf Title: Recurrent Laryngeal Nerve Intraoperative Neuromonitoring Indications in Non-Thyroid and Non-Parathyroid Surgery Subject: Introperative nerve monitoring (IONM) of the recurrent laryngeal nerve (RLN) is a well-established technique to aid in thyroid/parathyroid surgery. However, there is little evidence to support its use in non-thyroid or non-parathyroid surgery. The aim of this paper was to review the current evidence regarding the use of IONM in non-thyroid/non-parathyroid surgery in the head and neck and thorax. A literature search was performed from their inception up to January 2024, including the term “recurrent laryngeal nerve monitoring”. IONM in non-thyroid/non-parathyroid surgery has mainly been previously described in oesophageal surgery and in tracheal resections. However, there is little published evidence on the role of IONM with other resections in the vicinity of the RLN. Current evidence is low-level for the use of RLN IONM in non-thyroid/non-parathyroid surgery. However, clinicians should consider its use in surgery for pathologies where the RLN is exposed and could be injured. Keywords: recurrent laryngeal nerve; intraoperative nerve monitoring; recurrent laryngeal nerve palsy; oesophagus; trachea-12pt Author: Aina Brunet, Aleix Rovira, Miquel Quer, Alvaro Sanabria, Orlando Guntinas-Lichius, Mark Zafereo, Dana M. Hartl, Andrés Coca-Pelaz, Ashok R. Shaha, Jean-Paul Marie, Vincent Vander Poorten, Cesare Piazza, Luiz P. Kowalski, Gregory W. Randolph, Jatin P. Shah, Alessandra Rinaldo and Ricard Simo Creator: LaTeX with hyperref Producer: pdfTeX-1.40.25 CreationDate: Thu Apr 11 16:22:30 2024 CEST ModDate: Thu Apr 11 16:24:42 2024 CEST Custom Metadata: no Metadata Stream: no Tagged: no UserProperties: no Suspects: no Form: none JavaScript: no Pages: 12 Encrypted: no Page size: 595.276 x 841.89 pts (A4) Page rot: 0 File size: 284150 bytes Optimized: no PDF version: 1.7 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- BTFGED+VnURWPalladioL-Bold Type 1 Custom yes yes yes 10 0 UQIUFM+VnURWPalladioL Type 1 Custom yes yes yes 16 0 MZWMFS+URWPalladioL-Bold Type 1 Custom yes yes yes 21 0 SGSAGQ+URWPalladioL-Roma Type 1 Custom yes yes yes 27 0 MXYJQU+URWPalladioL-Ital Type 1 Custom yes yes yes 32 0 XPUSBJ+TimesNewRomanPS-BoldItalicMT Type 1C WinAnsi yes yes no 48 0 BSDWLC+TimesNewRomanPSMT Type 1C WinAnsi yes yes no 51 0 LKRWJL+CMSY10 Type 1 Builtin yes yes yes 71 0 Jhove (Rel. 1.28.0, 2023-05-18) Date: 2024-05-09 02:45:40 CEST RepresentationInformation: pmc_11050584.pdf ReportingModule: PDF-hul, Rel. 1.12.4 (2023-03-16) LastModified: 2024-05-08 02:36:20 CEST Size: 284150 Format: PDF Version: 1.7 Status: Well-Formed and valid SignatureMatches: PDF-hul MIMEtype: application/pdf PDFMetadata: Objects: 364 FreeObjects: 1 IncrementalUpdates: 0 DocumentCatalog: PageLayout: SinglePage PageMode: UseNone Outlines: Item: Title: Introduction Destination: section.1 Item: Title: Materials and Methods Destination: section.2 Item: Title: Results Destination: section.3 Children: Item: Title: Anatomy of the Recurrent Laryngeal Nerve Destination: subsection.3.1 Item: Title: Causes of Injury Destination: subsection.3.2 Item: Title: Current Indications for IONM of the RLN Destination: subsection.3.3 Item: Title: Types of RLN Monitoring Destination: subsection.3.4 Item: Title: Discussion Destination: section.4 Children: Item: Title: Tracheal Resections Destination: subsection.4.1 Item: Title: Oesophageal Surgery Destination: subsection.4.2 Item: Title: Cervical Thymomas Destination: subsection.4.3 Item: Title: External Approach to Zenker’s Diverticulum for Excision of the Pharyngeal Pouch Destination: subsection.4.4 Item: Title: Thoracic Inlet Neurogenic Tumours Destination: subsection.4.5 Item: Title: Video-Assisted Thoracoscopic Surgery Destination: subsection.4.6 Item: Title: Other Pathologies Destination: subsection.4.7 Item: Title: Limitations of This Study Destination: subsection.4.8 Item: Title: Value of This Study Destination: subsection.4.9 Item: Title: Conclusions Destination: section.5 Item: Title: References Destination: section.6 Info: Title: Recurrent Laryngeal Nerve Intraoperative Neuromonitoring Indications in Non-Thyroid and Non-Parathyroid Surgery Author: Aina Brunet, Aleix Rovira, Miquel Quer, Alvaro Sanabria, Orlando Guntinas-Lichius, Mark Zafereo, Dana M. Hartl, Andrés Coca-Pelaz, Ashok R. Shaha, Jean-Paul Marie, Vincent Vander Poorten, Cesare Piazza, Luiz P. Kowalski, Gregory W. Randolph, Jatin P. Shah, Alessandra Rinaldo and Ricard Simo Subject: Introperative nerve monitoring (IONM) of the recurrent laryngeal nerve (RLN) is a well-established technique to aid in thyroid/parathyroid surgery. However, there is little evidence to support its use in non-thyroid or non-parathyroid surgery. The aim of this paper was to review the current evidence regarding the use of IONM in non-thyroid/non-parathyroid surgery in the head and neck and thorax. A literature search was performed from their inception up to January 2024, including the term “recurrent laryngeal nerve monitoring”. IONM in non-thyroid/non-parathyroid surgery has mainly been previously described in oesophageal surgery and in tracheal resections. However, there is little published evidence on the role of IONM with other resections in the vicinity of the RLN. Current evidence is low-level for the use of RLN IONM in non-thyroid/non-parathyroid surgery. However, clinicians should consider its use in surgery for pathologies where the RLN is exposed and could be injured. 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