| Title: |
Intraoperative Nerve Monitoring in Thyroid and Parathyroid Surgery: A Decade of Italian Practice |
| Authors: |
Melcarne R.; Docimo G.; Raffaelli M.; Iacobone M.; Giacomelli L.; Scolari F.; Andreani S.; Boniardi M. |
| Contributors: |
Melcarne, R.; Docimo, G.; Raffaelli, M.; Iacobone, M.; Giacomelli, L.; Scolari, F.; Andreani, S.; Boniardi, M. |
| Publication Year: |
2025 |
| Collection: |
Sapienza Università di Roma: CINECA IRIS |
| Subject Terms: |
IONM; Laringeal Nerve; Thyroid |
| Description: |
Intraoperative nerve monitoring (IONM) has been recognized as a useful adjunct into the field of thyroid and parathyroid surgery, aiding in the accurate identification and preservation of the recurrent laryngeal nerve (RLN), consequently reducing the probability of nerve injury and promoting surgical safety. This investigation seeks to amplify the findings of a similar nationwide survey performed in 2014 by offering an updated assessment of IONM practices among Italian surgical institutions, reflecting a decade of advancements and transformations in clinical approaches. A comprehensive nationwide survey was implemented targeting Italian endocrine surgeons to assess the prevalence, utilization patterns, attitudes and perceptions surrounding IONM in the context of thyroid and parathyroid surgical procedures. Structured questionnaires were administered to seventy endocrine surgery centers, and the resulting data were evaluated employing both quantitative and qualitative analysis methods. The survey disclosed that 67.14% of the participants confirmed the routine deployment of IONM across all cervical surgical procedures, particularly in high-risk contexts. Relative to the findings from 2014, a marked rise in the implementation of IONM has been recorded; however, variability persists, especially between continuous and intermittent monitoring strategies. Surgeons recognized improved surgical safety, decreased complication frequencies, and educational advantages as significant key drivers for the incorporation of IONM. Nonetheless, issues, such as false-positive and falsenegative results, along with the lack of standardized protocols, remain barriers to its uniform application. During the past ten years, IONM has been thoroughly adopted by Italian endocrine surgeons as a result of its critical contribution to the improvement of surgical outcomes and the provision of educational resources. However, the results highlight the imperative for further standardization of protocols, the advancement of training programs, and ... |
| Document Type: |
conference object |
| Language: |
English |
| Relation: |
ispartofbook:11th Conference of the European Society of Endocrine Surgeons (ESES); 11th Conference of the European Society of Endocrine Surgeons (ESES); https://hdl.handle.net/11573/1747381 |
| Availability: |
https://hdl.handle.net/11573/1747381 |
| Accession Number: |
edsbas.A466926 |
| Database: |
BASE |