{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T17:46:48Z","timestamp":1777052808424,"version":"3.51.4"},"reference-count":30,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2022,11,5]],"date-time":"2022-11-05T00:00:00Z","timestamp":1667606400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100002380","name":"Hanyang University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002380","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>During transoral robot\u2010assisted thyroidectomy, there is a risk of increasing intracranial pressure because the site of CO<jats:sub>2<\/jats:sub> insufflation is narrow and close to the brain.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We analyzed the pre\u2010 to post\u2010CO<jats:sub>2<\/jats:sub> neck insufflation change in the optic nerve sheath diameter during transoral robot\u2010assisted thyroidectomy. Changes in vital\u2010signs, airway pressure, and arterial carbon dioxide pressure were analyzed along with postoperative complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among the 30 participants, the post\u2010CO<jats:sub>2<\/jats:sub> inflation mean optic nerve sheath diameter (5.64\u2009\u00b1\u20090.54\u2009mm) was higher than the pre\u2010induction diameter (4.81\u2009\u00b1\u20090.37\u2009mm) with a mean difference of 0.83 (95% CI, 0.69\u20130.97; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), but returned to baseline after CO<jats:sub>2<\/jats:sub> deflation in most cases. One participant had sustained increased optic nerve sheath diameter (6.35\u2009mm) associated with severe new\u2010onset postoperative headache.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Transient elevation in the intracranial pressure during low\u2010pressure CO<jats:sub>2<\/jats:sub> neck insufflation in the transoral robot\u2010assisted thyroidectomy did not appear to adversely affect patients.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.27234","type":"journal-article","created":{"date-parts":[[2022,11,5]],"date-time":"2022-11-05T08:05:20Z","timestamp":1667635520000},"page":"329-336","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Detection of increased intracranial pressure in trans\u2010oral robotic thyroidectomy using optic nerve sheath diameter measurement"],"prefix":"10.1002","volume":"45","author":[{"given":"Hyunyoung","family":"Lim","sequence":"first","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine, College of Medicine Hanyang University  Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1926-4191","authenticated-orcid":false,"given":"Eugene","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine, College of Medicine Hanyang University  Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Soo Yeon","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine, College of Medicine Hanyang University  Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ji\u2010Yoon","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine Hanyang University Medical Center  Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yundo","family":"Jung","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine Hanyang University Medical Center  Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tagkeun","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine Hanyang University Medical Center  Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nayeon","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine Hanyang University Medical Center  Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0382-2072","authenticated-orcid":false,"given":"Kyung","family":"Tae","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, College of Medicine Hanyang University  Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,11,5]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2020.104748"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.21053\/ceo.2018.00766"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-019-07207-w"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2014.0019"},{"key":"e_1_2_9_6_1","first-page":"596","article-title":"Anesthetic concerns for robotic\u2010assisted laparoscopic radical prostatectomy","volume":"78","author":"Gainsburg DM","year":"2012","journal-title":"Minerva Anestesiol"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s004649900648"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-010-1425-z"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1067\/msy.2000.110238"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/emj.2006.040931"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-008-1149-x"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10072-019-04015-x"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.3390\/s18020465"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1213\/ane.0b013e318167ad77"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00068-019-01249-4"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1155\/2019\/5617815"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.25999"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/OPX.0000000000001148"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2006.06.040"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-6576.2011.02432.x"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/cc7006"},{"key":"e_1_2_9_22_1","volume-title":"Discovering Statistics Using SPSS","author":"Field AP","year":"2009"},{"key":"e_1_2_9_23_1","first-page":"5599","article-title":"Complete endoscopic radical resection of thyroid cancer via an oral vestibule approach","volume":"16","author":"Bian C","year":"2018","journal-title":"Oncol Lett"},{"issue":"1298","key":"e_1_2_9_24_1","first-page":"e3","article-title":"The role of bedside ultrasound in pretherapeutic and posttherapeutic lumbar puncture in patient with idiopathic intracranial hypertension","volume":"32","author":"Hassen GW","year":"2014","journal-title":"Am J Emerg Med"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0147-9563(97)90009-1"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-018-5305-7"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1055\/a-0719-4903"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12883-016-0594-3"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199406000-00011"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.21053\/ceo.2020.02110"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1155\/2016\/9785849"}],"container-title":["Head &amp; Neck"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hed.27234","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/hed.27234","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hed.27234","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,19]],"date-time":"2023-08-19T23:13:33Z","timestamp":1692486813000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/hed.27234"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11,5]]},"references-count":30,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2023,2]]}},"alternative-id":["10.1002\/hed.27234"],"URL":"https:\/\/doi.org\/10.1002\/hed.27234","archive":["Portico"],"relation":{},"ISSN":["1043-3074","1097-0347"],"issn-type":[{"value":"1043-3074","type":"print"},{"value":"1097-0347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,11,5]]},"assertion":[{"value":"2022-06-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-10-25","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-11-05","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}