The influence of loss of intraoperative nerve monitoring signal on decision-making of total thyroidectomy: similarities and differences between Chinese and western perspectives

VernacularTitle:术中神经监测信号丢失对全切甲状腺手术决策的影响—中西方观点异同
Author: Jiedong KOU ¹ ; Yishen ZHAO ; Nan LIANG ; Hui SUN
Author Information

1. 吉林大学中日联谊医院甲状腺外科，吉林省外科转化医学重点实验室，吉林省甲状腺疾病防治工程实验室，长春　130033
Keywords: Thyroid surgery; Intraoperative nerve monitoring; Loss of nerve signal; Recurrent laryngeal nerve; Chinese and western differences
From: Chinese Journal of Endocrine Surgery 2022;16(4):503-505
CountryChina
Language:Chinese
Abstract: With the popularization of intraoperative nerve monitoring (IONM) , it is possible to determine the intraoperative nerve function, which provides evidence-based basis for surgical decision making. Intraoperative loss of nerve signal (LOS) often indicates postoperative vocal cord dyskinesia. Once LOS occurs intraoperatively, the next surgical strategy adopted by the operator has always been controversial among Chinese and western experts. Therefore, this paper makes a comparative analysis of the differences between the viewpoints of domestic experts and western scholars and the possible causes through the investigation of domestic and foreign literature to provide theoretical basis for better thyroid surgery decision.