Usefulness of continuous intraoperative neuromonitoring (C-IONM)

Lee, Joon Kyoo

doi:2022.2.2.1

J Neuromonit Neurophysiol > Volume 2(2); 2022 > Article

Review article

Journal of Neuromonitoring & Neurophysiology 2022;2(2):1-5.
DOI: https://doi.org/10.54441/jnn.2022.2.2.1 Published online November 30, 2022.

지속성 수술 중 신경감시의 유용성

이준규

Usefulness of continuous intraoperative neuromonitoring (C-IONM)

Joon Kyoo Lee

Abstract

Intraoperative neuromonitoring during thyroid surgery has been popularized recently. The majority of this technique represented the direct stimulation to the recurrent laryngeal nerve, so called intermittent intraoperative neuromonitoring (I-IONM). However, continuous monitoring via vagus nerve (C-IONM) was considered more ideal, and has been reported to have more advantage than I-IONM because C-IONM allows the real-time detection of signal changes and prevents the nerve injury before the event. Here, the author reviewed the usefulness of C-IONM.

Key Words: Vagus nerve, Recurrent laryngeal nerve, Neuromuscular monitoring, Physiologic monitoring