Thomas J. Fahey, III, MD
Professor and Vice-Chair, Department of Surgery
Chief, Endocrine Surgery
Director, Endocrine Oncology Program
RLN preservation is of critical importance in thyroid and parathyroid surgery. Functional assessment during thyroidectomy is frequently used to ensure RLN preservation. RLN EMG monitoring has become widely practiced but is associated with issues of technical complexity and reliability, including EMG Loss of Signal (LOS). Dr. Fahey will review a safe and reliable method for RLN functional assessment that can be used to verify false LOS with EMG monitoring or be adapted into routine practice. Adding this method into practice can enhance patient care and overcome technical hurdles associated with EMG monitoring in thyroidectomy surgery.
Suggested Reading
Otolaryngol Head Neck Surg. 2022 Feb;166(2):260-266
Comparison of a Handheld Device vs Endotracheal Tube-Based Neuromonitoring for Recurrent Laryngeal Nerve Stimulation
- Kong DK
- Kong AM
- Chai RL
Laryngoscope. 2020 Feb;130(2):561-565
Safety and reliability of a handheld stimulator for neural monitoring during thyroid surgery
- Lawson BR
- Kamani D
- Shama M
- Kyriazidis N
- Randolph GW
