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Title Atlas of intraoperative cranial nerve monitoring in thyroid and head and neck surgery / Alexander L. Shifrin, Alan D. Deutsch, Gregory W. Randolph, editors
Published Cham : Springer, 2023

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Description 1 online resource (106 p.)
Contents Intro -- Preface -- Acknowledgments -- Contents -- Contributors -- 1: Anatomy and Function of Cranial and Neck Nerves -- Introduction -- Summary of Cranial Nerves I-VI, VII, and IX -- CNI: The Olfactory Nerve -- CNII: The Optic Nerve -- CNIII: The Oculomotor Nerve -- CN IV: The Trochlear Nerve -- CN V: The Trigeminal Nerve -- CN VI: The Abducens Nerve -- CN IX: The Glossopharyngeal Nerve -- CN VII: The Facial Nerve -- Anatomy -- Function -- CN X: The Vagus Nerve -- Anatomy -- Function -- Branches of the Vagus Nerve -- The Recurrent Laryngeal Nerve (RLN) -- Superior Laryngeal Nerve (SLN)
The Internal Branch of the Superior Laryngeal Nerve (IBSLN) -- The External Branch of the Superior Laryngeal Nerve (EBSLN) -- Communicating "Anastomoses" Between SLN and RLN -- Galen's Anastomosis -- Extra-Laryngeal Anastomosis Between the RLN and the EBSLN -- CN XI: The Spinal Accessory Nerve -- CN XII: The Hypoglossal Nerve -- Phrenic Nerve -- References -- 2: Electrophysiological Equipment -- Medtronic -- NIM 3.0 System -- NIM Vital -- NIM TriVantage EMG Tubes -- Inomed -- C2 Explore -- Cadwell -- Cascade IOMAX -- CadX -- Cascade Surgical Studio (CSS) -- References
3: Intraoperative Neurophysiologic Monitoring: A Neurologic Perspective -- References -- 4: Intraoperative Neurophysiological Monitoring Anesthesia Perspective -- Introduction -- Preoperative Assessment -- Intraoperative Management -- Anesthesia Emergence -- References -- 5: Intraoperative Neurophysiological Monitoring Surgical Perspective -- Introduction -- Rationale for Intraoperative Nerve Monitoring -- Preventing Vocal Fold Injury -- Types of Intraoperative Nerve Monitoring -- Safety of Intraoperative Nerve Monitoring -- Limitations -- Conclusions -- References
6: Electrophysiologic RLN and Vagal Monitoring During Thyroid and Parathyroid Surgery -- Introduction -- Brief History of IONM -- Prevalence and Patterns of IONM Use -- Role in Education -- Rationale and Indications for IONM -- Rates and Impact of Vocal Cord Paralysis -- Role of Preoperative Laryngeal Examination -- Evidence Basis for Benefit of IONM -- IONM Standards of Use and Applications -- Surgical Anatomy of the Vagus/RLN -- Normal Anatomy -- Variant Anatomy -- Standard Set-up and Troubleshooting -- Standard Set-up -- Signal Interpretation and Troubleshooting
RLN Injury and Loss of Signal -- Mechanisms of RLN Injury -- Loss of Signal -- IONM and RLN Invasion -- Neuromonitoring in Parathyroid Surgery -- Conclusions -- References -- 7: External Branch of the Superior Laryngeal Nerve (EBSLN) Monitoring During Thyroid and Parathyroid Surgery -- Introduction -- Surgical Anatomy -- How to Avoid Injury to the EBSLN During Thyroidectomy -- How to Diagnose the EBSLN Paralysis? -- Intraoperative Monitoring of the EBSLN -- Relevance of EBSLN Intraoperative Monitoring -- Does EBSLN Intraoperative Monitoring Reduce the Frequency of Nerve Injury?
Summary This comprehensive atlas is the modern, state-of-the-art guide for intraoperative neurophysiologic monitoring (IONM) and management of the recurrent laryngeal nerve, vagus nerve and other cranial nerves at risk during thyroid, parathyroid and modified radical neck dissection surgery. Based on real-time electrophysiologic images, it will assist the surgeon in the decision-making process by incorporating important information related to the identification of the nerves and their functional status, aiding in the interpretation and improvement of the quality of neural monitoring and reducing inappropriate variations in monitoring technique. Utilization of IONM enables the surgeon to interrogate nerve anatomy and function with immediate quantitative feedback, thereby augmenting surgical training, and importantly, surgical skills and sound anatomic knowledge remain prerequisite and are not supplanted by IONM use. Authored by experts in the field, Atlas of Intraoperative Cranial Nerve Monitoring in Thyroid and Head and Neck Surgery will be the gold-standard text for IONM for endocrine surgeons, otolaryngology surgeons, neurophysiologists, and head and neck surgeons, as well as fellows and residents in these areas
Notes Frequency of Use of EBSLN Intraoperative Nerve Monitoring
Includes index
Online resource; title from PDF title page (SpringerLink, viewed July 17, 2023)
Subject Neurophysiologic monitoring -- Atlases
Nerves, Cranial -- Atlases
Thyroid gland -- Surgery -- Atlases
Head -- Surgery -- Atlases
Neck -- Surgery -- Atlases
Head -- Surgery
Neck -- Surgery
Nerves, Cranial
Neurophysiologic monitoring
Thyroid gland -- Surgery
Genre/Form atlases.
Scientific atlases
Atlases.
Atlas.
Form Electronic book
Author Shifrin, Alexander.
Deutsch, Alan D
Randolph, Gregory.
ISBN 3031246136
9783031246135