Intraoperative nerve monitoring is used routinely by a significant majority of head and neck surgeons in thyroid surgery and impacts on extent of surgery—Survey of the American Head and Neck Society

Amit Ritter, Ian Ganly, Richard J. Wong, Gregory W. Randolph, Thomas Shpitzer, Gideon Bachar, Aviram Mizrachi

Research output: Contribution to journalArticlepeer-review

Abstract

Background: The data on the advantages of intraoperative nerve monitoring (IONM) during thyroid surgeries is inconsistent. Our objective was to study the patterns of use of IONM in thyroid surgery among American Head and Neck Society (AHNS) members. Method: A web-based survey was e-mailed to all members of the AHNS. Results: A total of 275 surgeons completed the survey. Seventy-two percent reported using IONM routinely. Routine use of IONM was associated with longer period in practice. Twenty-one percent only used IONM selectively in high-risk cases. Most surgeons would consider aborting the procedure in cases of loss of signal without continuing to the contralateral side. Finally, only 19% of surgeons attempt to identify the external branch of the superior laryngeal nerve (EBSLN). Conclusions: The majority of AHNS surgeons routinely use IONM during thyroid surgery as a real-time decision-making tool. However, IONM for preservation of the EBSLN is underutilized.

Original languageEnglish
Pages (from-to)1757-1764
Number of pages8
JournalHead and Neck
Volume42
Issue number8
DOIs
StatePublished - 1 Aug 2020

Keywords

  • head and neck
  • intraoperative nerve monitoring
  • recurrent laryngeal nerve
  • survey
  • thyroidectomy

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