{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T13:17:31Z","timestamp":1783775851424,"version":"3.55.0"},"reference-count":25,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2017,10,6]],"date-time":"2017-10-06T00:00:00Z","timestamp":1507248000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2017,10,6]],"date-time":"2017-10-06T00:00:00Z","timestamp":1507248000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The aim of this study was to describe first experiences and changes in management using continuous intraoperative neuromonitoring (C\u2010IONM) in thyroid and parathyroid surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Retrospective analysis of patients who underwent surgery with C\u2010IONM since 2012. Surgical maneuvers were modified when electrophysiologic events occurred. Patients with persistent loss of signal (LOS) underwent postoperative laryngoscopy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One hundred and one patients (of 1586\u00a0neck surgeries) were included and 19 had events: In 13 these were temporary (resolved before end of surgery) and led to intraoperative modifications in surgical approach; in all cases traction was released, and in 8, recurrent laryngeal nerve (RLN) approach was changed [superior approach (2), inferior approach (2), both (4)]. Six patients had persistent LOS (5.9%, present at end of procedure), with RLN palsy (RLNP) on postoperative day 1: In three, LOS occurred at electrode placement on the vagus nerve, leading to distal placement of the electrode allowing ipsilateral dissection under continuous monitoring; all three had complete recovery at 6\u00a0months. In the three other patients, LOS occurred on the RLN: one probable thermal, one traction lesion and one accidental section of the anterior RLN branch. The RLN recovered within 6\u00a0months in two patients, and in the third, RLNP persisted after 6\u00a0months (1\/101 = 1%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>C\u2010IONM provides real\u2010time evaluation of the RLN function, allowing for adaptation of surgical maneuvers to prevent RLNP. It seems particularly useful in difficult cases like redo neck surgery, invasive thyroid cancer and intrathoracic or large goiter. Care should be given at electrode placement on the vagus nerve.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-017-4277-z","type":"journal-article","created":{"date-parts":[[2017,10,6]],"date-time":"2017-10-06T17:05:46Z","timestamp":1507309546000},"page":"444-450","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":27,"title":["Modification of the Surgical Strategy for the Dissection of the Recurrent Laryngeal Nerve Using Continuous Intraoperative Nerve Monitoring"],"prefix":"10.1002","volume":"42","author":[{"given":"Andres","family":"Marin Arteaga","sequence":"first","affiliation":[{"name":"General Surgery University Hospitals of Geneva Geneva Switzerland"},{"name":"Thoracic and Endocrine Surgery University Hospitals of Geneva Rue Gabrielle Perret\u2010Gentil 4 1211 Geneva 14 Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Peloni","sequence":"additional","affiliation":[{"name":"Thoracic and Endocrine Surgery University Hospitals of Geneva Rue Gabrielle Perret\u2010Gentil 4 1211 Geneva 14 Switzerland"},{"name":"Ospedale Regionale di Mendrisio Via Turconi 23 6850 Mendrisio Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Igor","family":"Leuchter","sequence":"additional","affiliation":[{"name":"Ear\u2010Nose\u2010Throat Division University Hospitals of Geneva Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benoit","family":"Bedat","sequence":"additional","affiliation":[{"name":"Thoracic and Endocrine Surgery University Hospitals of Geneva Rue Gabrielle Perret\u2010Gentil 4 1211 Geneva 14 Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wolfram","family":"Karenovics","sequence":"additional","affiliation":[{"name":"Thoracic and Endocrine Surgery University Hospitals of Geneva Rue Gabrielle Perret\u2010Gentil 4 1211 Geneva 14 Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frederic","family":"Triponez","sequence":"additional","affiliation":[{"name":"Thoracic and Endocrine Surgery University Hospitals of Geneva Rue Gabrielle Perret\u2010Gentil 4 1211 Geneva 14 Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samira Mercedes","family":"Sadowski","sequence":"additional","affiliation":[{"name":"Thoracic and Endocrine Surgery University Hospitals of Geneva Rue Gabrielle Perret\u2010Gentil 4 1211 Geneva 14 Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,10,6]]},"reference":[{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/MLG.0b013e3180de4d49"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2004.07.018"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010003\u20106903\u20101"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00423\u2010008\u20100366\u20107"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.21578"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2017.01.086"},{"key":"e_1_2_7_8_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.6417"},{"key":"e_1_2_7_9_2","doi-asserted-by":"publisher","DOI":"10.1089\/thy.2012.0368"},{"key":"e_1_2_7_10_2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.21119"},{"key":"e_1_2_7_11_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.9889"},{"key":"e_1_2_7_12_2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24550"},{"key":"e_1_2_7_13_2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.25807"},{"key":"e_1_2_7_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2013.08.015"},{"key":"e_1_2_7_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00423\u2010016\u20101439\u20107"},{"key":"e_1_2_7_16_2","doi-asserted-by":"publisher","DOI":"10.1002\/hed.24280"},{"key":"e_1_2_7_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010015\u20103139\u20109"},{"key":"e_1_2_7_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010015\u20103368\u2010y"},{"key":"e_1_2_7_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2009.04.036"},{"key":"e_1_2_7_20_2","doi-asserted-by":"publisher","DOI":"10.1002\/hed.24175"},{"key":"e_1_2_7_21_2","first-page":"95","article-title":"Vagus nerve stimulation for standardized monitoring: technical notes for conventional and endoscopic thyroidectomy","volume":"23","author":"Dionigi G","year":"2013","journal-title":"Surg Technol Int"},{"key":"e_1_2_7_22_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.9044"},{"key":"e_1_2_7_23_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12893\u2010015\u20100082\u20105"},{"key":"e_1_2_7_24_2","doi-asserted-by":"crossref","unstructured":"Al\u2010QurayshiZ KandilE RandolphGW(2017) Cost\u2010effectiveness of intraoperative nerve monitoring in avoidance of bilateral recurrent laryngeal nerve injury in patients undergoing total thyroidectomy.Br J Surg","DOI":"10.1002\/bjs.10582"},{"key":"e_1_2_7_25_2","doi-asserted-by":"publisher","DOI":"10.1089\/ve.2014.0009"},{"key":"e_1_2_7_26_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-0-387-88441-7"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00268-017-4277-z\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-017-4277-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-017-4277-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00268-017-4277-z","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,26]],"date-time":"2023-12-26T15:12:35Z","timestamp":1703603555000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s00268-017-4277-z"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,10,6]]},"references-count":25,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2018,2]]}},"alternative-id":["10.1007\/s00268-017-4277-z"],"URL":"https:\/\/doi.org\/10.1007\/s00268-017-4277-z","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,10,6]]}}}