Detaillierte Beitrags-Information

Zurück zur Liste

Beitragstitel Continuous intraoperative neuromonitoring (C-IONM) of vagus, recurrent and superior laryngeal nerve – a quantum leap for operative safety?
Beitragscode P24
  1. Gerhard Frank Huber Klinik Hirslanden Präsentierende:r
  2. Sandro J. Stöckli Kantonsspital St. Gallen
Präsentationsform Poster
  • SGORL FV 2019
Abstract-Text Aim: Postoperative nerve malfunction of the recurrent and/or superior laryngeal nerves can severely impair quality of life, especially in patients with professional use of their voice. We assessed patients operated with the system mentioned above (NIM3.0; Medtronic®), regarding functionality of the monitoring system, convenience of installation vagus nerve probe and outcomes.
Material and Methods: Between December 2018 and June 2019 we analyzed 15 patients operated with the C-IONM. Outcomes of interest were problems with positioning of the APS-Probe, nerve function documentation system, intraoperative loss of signal (amplitude and latency) and postoperative vocal cord function.
Results: The additional time for the setup of the probe was 8 minutes. In all patients the monitoring functioned faultlessly until the end of the procedure. In none of the patients a complete loss of signal during the operation was observed, however in 3/15 intermittent drops of amplitude and/or latency were observed and documented. All patients showed normal vocal cord mobility postoperatively.
Conclusions: C-IONM is easy to install and facilitates early corrective action before permanent damage to the nerve has been done. C-IONM is a recent but rapidly evolving technique, appearing to make surgery safer and teaching to younger colleagues more instructive.