Use of a disposable electrode for recurrent laryngeal nerve monitoring

Our experience with a non-invasive, disposable electrode for intra-operative identification and monitoring of the recurrent laryngeal nerve is described. The electrode system, while simply attached to the endotracheal tube, acts as a laryngeal surface electrode and detects electromyographic activity...

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Bibliographic Details
Published in:Journal of laryngology and otology 1998-06, Vol.112 (6), p.561-564
Main Authors: Srinivasan, V., Premachandra, D. J.
Format: Article
Language:English
Subjects:
Biological and medical sciences
Disposable Equipment
Electric Stimulation
Electrodes
Electromyography
Equipment Design
Humans
Laryngeal Muscles - physiopathology
Medical sciences
Monitoring, Intraoperative
Recurrent Laryngeal Nerve
Short Communication
surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of endocrine glands
Thyroid gland
Thyroidectomy
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Description
Summary:Our experience with a non-invasive, disposable electrode for intra-operative identification and monitoring of the recurrent laryngeal nerve is described. The electrode system, while simply attached to the endotracheal tube, acts as a laryngeal surface electrode and detects electromyographic activity of the intrinsic laryngeal muscles when the recurrent laryngeal nerve is stimulated. We have successfully used this electrode to monitor 19 recurrent laryngeal nerves in 15 patients who have undergone partial or total thyroidectomy. We feel that this device can be useful particularly in cases of re-exploration and malignancies of the thyroid gland.
ISSN:0022-2151
1748-5460
DOI:10.1017/S0022215100141088