Intraoperative nerve monitoring in laryngotracheal surgery.
Por:
Bolufer S, Coves MD, Gálvez C and Villalona GA
Publicada:
1 jun 2017
Ahead of Print:
23 abr 2017
Categoría:
Surgery
Resumen:
Laryngotracheal surgery has an inherent risk of injury to the recurrent laryngeal nerves (RLN). These complications go from minor dysphonia to even bilateral vocal cord paralysis. The intraoperative neuromonitoring of the RLN was developed in the field of thyroid surgery, in order to preserve nerve and vocal cord function. However, tracheal surgery requires in-field intubation of the distal trachea, which limits the use of nerve monitoring using conventional endotracheal tube with surface electrodes. Given these challenges, we present an alternative method for nerve monitoring during laryngotracheal surgery through the insertion of electrodes within the endolaryngeal musculature by bilateral puncture.
Filiaciones:
:
Servicio de Cirugía Torácica, Hospital General Universitario de Alicante, Alicante, España
Coves MD:
Servicio de Neurofisiología, Hospital General Universitario de Alicante, Alicante, España
:
Servicio de Cirugía Torácica, Hospital General Universitario de Alicante, Alicante, España
Villalona GA:
Department of Pediatric Surgery, Saint Louis University School of Medicine, San Luis, Estados Unidos de América
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