Intraoperative neuromonitoring (IONM) has been introduced as a promising technology that can help minimize recurrent nerve injury. The IONM can identify anatomical variations and unusual nerve routes, which are associated with increased risks of injur...
Intraoperative neuromonitoring (IONM) has been introduced as a promising technology that can help minimize recurrent nerve injury. The IONM can identify anatomical variations and unusual nerve routes, which are associated with increased risks of injury if they are not identified. The IONM helps predict postoperative nerve function. Moreover, by detecting nerve injury intraoperatively, it allows a surgeon to stage bilateral surgery to avoid bilateral vocal cord paralysis and tracheotomy. This review summarizes definition of electrophysiologic adverse signal including loss of signal, and their incorporation into the staged bilateral thyroidectomy process.