Safety of continuous intraoperative vagus nerve neuromonitoring during thyroid surgery.
Timothy MathiesonWedali JimajaFrédéric TriponezMarc LickerWolfram KarenovicsPetra MakovacMirza MuradbegovicValentina BelfontaliBenoît BédatMarco Stefano DemarchiPublished in: BJS open (2023)
In addition to supporting claims that continuous intraoperative neuromonitoring exposes the vagus nerve to injury, this study shows a mild electrophysiological impact of continuous intraoperative neuromonitoring electrode placement on the vagus nerve-recurrent laryngeal nerve axis. However, the small observed differences are negligible and were not associated with a clinically relevant outcome, making continuous intraoperative neuromonitoring a safe adjunct in selected thyroid surgeries.