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Guideline for the Surgical Management of Locally Invasive Differentiated Thyroid Cancer From the Korean Society of Head and Neck Surgery

Park JO, Kim JH, Joo YH, Kim SY, Kim GJ, Kim HB, Lee DH, Hong HJ, Park YM, Chung EJ, Ji YB, Oh KH, Lee HS, Lee DK, Park KN, Ban MJ, Kim BH, Kim DH, Cho JK, Ahn DB, Kim MS, Seok JG, Jang JY, Choi HG, Kim HJ, Park SJ, Jung EK, Kim YS, Hong YT, Lee YC, Won HR, Shin SC, Baek SK, Kwon SY

The aim of this study was to develop evidence-based recommendations for determining the surgical extent in patients with locally invasive differentiated thyroid cancer (DTC). Locally invasive DTC with gross extrathyroidal...
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Comparison of the Voice Outcome After Injection Laryngoplasty: Unilateral Vocal Fold Paralysis Due to Cancer Nerve Invasion and Iatrogenic Injury

Cho Y, Choi H, Oh KH, Baek SK, Woo JS, Kwon SY, Jung KY, Cho JG

Background and Objectives Injection laryngoplasty is a common method for treatment of unilateral vocal fold paralysis. Unilateral vocal fold paralysis has various causes, including idiopathic, infection, stroke, neurologic condition, surgery...
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A Case of Papillary Thyroid Carcinoma Accompanied by Zenker’s Diverticulum: Considerations for Surgery

Lee DW, Lee HS

Zenker’s diverticulum is rarely known to be an impediment to the diagnosis and surgical procedure for thyroid disease. In this report, we discuss a rare case of pre-operative diagnosis of...
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Intraoperative Neuromonitoring of Recurrent Laryngeal Nerve Using Adhesive Skin Electrodes during Minimally Invasive Open Hemithyroidectomy

Cheon YI, Shin SC, Seo MG, Kwon HN, Cho YJ, Lee BJ

Background: Intraoperative neuromonitoring (IONM) using adhesive skin electrodes has been reported to be useful method for preserving recurrent laryngeal nerve (RLN) in thyroid surgery. The aim of this study is...
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Is craniocaudal dissection of recurrent laryngeal nerve safer than lateral approach: a prospective randomized study comparing both techniques by using continuous intraoperative nerve monitoring

Iscan Y, Aygun N, Sormaz IC, Tunca F, Uludag M, Senyurek YG

Purpose: This study was performed to compare the real-time electromyographic (EMG) changes and the rate of recurrent laryngeal nerve (RLN) injury in craniocaudal and lateral approaches for RLN during thyroidectomy. Methods:...
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Dysphagia due to Bilateral Recurrent Laryngeal Nerve Injury after Attempted Suicide by Hanging: A Case Report

Choi WI, Kim HS

Survival from an attempted suicide by hanging is associated with various complications. However, the development of dysphagia after an attempt of suicidal hanging has not been widely reported in literature....
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Sympathetic Inferior Laryngeal Anastomosing Branch: Our Two-Year Experience

Parpounas C, Yiallourides M, Constantinides V

Purpose: The knowledge of sympathetic inferior laryngeal anastomosing branch (SILAB) is of great importance as it may mimic the non-recurrent laryngeal nerve (NRLN) leading to recurrent laryngeal nerve (RLN) damage...
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The Use of Intermittent Intra-Operative Neural Monitoring in Reducing the Recurrent Laryngeal Nerve Palsy Rate in High-Risk Thyroidectomy

Cheng KY, Bryant Chan SY

Purpose: To determine if intra-operative neural monitoring (IONM) is effective in lowering the rate of recurrent laryngeal nerve (RLN) injury, when selectively applied in thyroidectomy for certain diagnoses which carry...
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Efficacy of Intraoperative Neuromonitoring during Thyroidectomy with Transcutaneous Adhesive Skin Electrodes

Seo SG, Lee HS, Jo KH, Kim SW, Lee KD

Background and Objectives Variable types of electrodes for intraoperative neuromonitoring (IONM) during thyroid surgery have been introduced to make up for the shortcomings of conventional endotracheal electromyogram tube. In this...
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Intraoperative Neuromonitoring during Thyroid Surgery

You JY, Kim HY

Intraoperative neuromonitoring is a well-established method used to prevent intraoperative nerve damage, and many studies have been performed in thyroid surgery. We introduced the basic concept and practical application of...
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Application of Skin Electrodes for Intraoperative Neuromonitoring of Recurrent Laryngeal Nerve

Lee HS

Efficiency of intraoperative neuromonitoring (IONM) for recurrent laryngeal nerve (RLN) during thyroid or parathyroid surgery has been well established. Electromyogram (EMG) tube has been utilized as a standard method of...
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Efficacy of Intraoperative Neuromonitoring in Reoperation for Recurrent Thyroid Cancer Patients

Kim Ji, Kim Sj, Xu Z, Kwak J, Ahn Jh, Yu HW, Chai YJ, Choi JY, Lee KE

Background: The use of intraoperative neuromonitoring (IONM) in thyroid surgery to preserve recurrent laryngeal nerve (RLN) function has been widely accepted. We aimed to evaluate the usefulness of IONM in...
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Risk Factors for Iatrogenic Vocal Fold Palsy during Thyroid Surgery: A Single Institutional Experience Over 10 Years

Jeong YW, Han YS, Lee HS, Kim SW, Lee KD

Background and Objectives Recurrent laryngeal nerve (RLN) palsy is a critical complication of thyroid surgery. The aim of this study was to investigate the incidence of iatrogenic temporary or permanent...
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Efficacy of Transcartilaginous Electrodes for Intraoperative Neural Monitoring During Thyroid Surgery

Jung SM, Tae K, Song CM, Lee SH, Jeong JH, Ji YB

Objectives. This study was conducted evaluate the efficacy of electromyography (EMG) using transcartilaginous (TC) electrodes through the thyroid cartilage and perichondrium. Methods. We prospectively collected EMG data from intraoperative neuromonitoring (IONM)...
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Application of Novel Intraoperative Neuromonitoring System Using an Endotracheal Tube With Pressure Sensor during Thyroid Surgery: A Porcine Model Study

Sung ES, Shin SC, Kwon HK, Kim J, Park DH, Choi SW, Kim SH, Lee JC, Ro JH, Lee BJ

Objectives. The loss of signal during intraoperative neuromonitoring (IONM) using electromyography (EMG) in thyroidectomy is one of the biggest problems. We have developed a novel IONM system with an endotracheal...
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Dysphagia after Cervical Intradiscal Electrothermal Therapy: A Case Report

An MJ, Yoon SR, Ryu SR

ntradiscal electrothermal therapy (IDET), which is a minimally invasive treatment, was performed to treat cervical HNP. Although IDET has a relatively short recovery time and lower cost compared to surgical...
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A Case of Unilateral Vocal Fold Paralysis Caused by Ortner's Syndrome

Park SH, Park HS, Bae WY, Lee DK

The causes of vocal cord paralysis include iatrogenic injury during thyroid or cervical surgery, heart and chest surgery, and tumorous lesion such as laryngeal cancer and lung cancer. In addition...
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Effect of intraoperative neuromonitoring on efficacy and safety using sugammadex in thyroid surgery: randomized clinical trial

Gunes ME, Dural AC, Akarsu C, Guzey D, Sahbaz NA, Tulubas EK, Bulut S, Donmez T

PURPOSE: The use of nondepolarizing neuromuscular blocking agents (NMBAs) may affect intraoperative neuromonitoring (IONM) during anesthesia used during thyroid and parathyroid surgery. METHODS: The use of sugammadex was evaluated in a...
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Development of a Novel Intraoperative Neuromonitoring System Using an Accelerometer Sensor in Thyroid Surgery: A Porcine Model Study

Sung ES, Lee JC, Shin SC, Kwon HK, Na HS, Park DH, Choi SW, Ro JH, Lee BJ

OBJECTIVES: The sensitivity and positive predictive value of widely used intraoperative neuromonitoring (IONM) using electromyography (EMG) of the vocalis muscle in thyroid surgery are controversial. Thus, we developed a novel...
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Development of a Novel Intraoperative Neuromonitoring System Using a Surface Pressure Sensor to Detect Muscle Movement: A Rabbit Model Study

Sung ES, Lee JC, Shin SC, Kwon HG, Kim MS, Kim DJ, Ro JH, Lee BJ

OBJECTIVES: False-negative or false-positive responses in intraoperative neuromonitoring (IONM) using electromyography (EMG) in thyroid surgery pose a challenge. Therefore, we developed a novel IONM system that uses a surface pressure...
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