Drawbacks of neural monitoring troubleshooting algorithms in transoral endoscopic thyroidectomy.
Daqi ZhangChe-Wei WuTie WangYishen ZhaoHoon Yub KimAntonella PinoGianlorenzo DionigiHui SunPublished in: Langenbeck's archives of surgery (2021)
A limit for applying the IONM trouble-shooting algorithm to TOETVA is determined by (a) inability to appreciate the LT, (b) difficulty in stimulating the ipsilateral and contralateral VN, and (c) remodeling EMG endotracheal tube position. A modified IONM trouble-shooting algorithm for TOETVA is proposed.