Safety parameters of ferromagnetic device during thyroid surgery: Porcine model using continuous neuromonitoring
Background The ferromagnetic (FM) device is a new surgical energy modality. This study investigated dynamic recurrent laryngeal nerve (RLN) electromyographic (EMG) data to define safety parameters for using FM devices in thyroidectomy. Methods Real‐time EMG tracings obtained under continuous neuromo...
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| Veröffentlicht in: | Head & neck 2020-10, Vol.42 (10), p.2931-2940 |
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| creator | Huang, Tzu‐Yen Lin, Yi‐Chu Tseng, Hsin‐Yi Dionigi, Gianlorenzo Kim, Hoon Yub Chai, Young Jun Lu, I‐Cheng Chang, Pi‐Ying Chiang, Feng‐Yu Wu, Che‐Wei |
| description | Background
The ferromagnetic (FM) device is a new surgical energy modality. This study investigated dynamic recurrent laryngeal nerve (RLN) electromyographic (EMG) data to define safety parameters for using FM devices in thyroidectomy.
Methods
Real‐time EMG tracings obtained under continuous neuromonitoring were recorded from 24 RLNs (12 piglets). In the activation study, FM devices were activated at varying distances from the RLN. In the cooling study, FM devices were cooled for varying time intervals, or muscle touch maneuver was performed, before contact with the RLN.
Results
During the FMwand/FMsealer activation, no adverse EMG events occurred at distances of 2 mm or longer. The cooling study revealed no adverse EMG events after 1‐second (FMwand) or 3‐second (FMsealer) intervals or after muscle touch maneuver.
Conclusions
An FM device should be activated at a distance of 2 mm from the RLN and should be adequately cooled before further contact with the RLN. Surgeons can avoid RLN injury by observing standard procedures for using FM devices. |
| doi_str_mv | 10.1002/hed.26334 |
| format | Article |
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The ferromagnetic (FM) device is a new surgical energy modality. This study investigated dynamic recurrent laryngeal nerve (RLN) electromyographic (EMG) data to define safety parameters for using FM devices in thyroidectomy.
Methods
Real‐time EMG tracings obtained under continuous neuromonitoring were recorded from 24 RLNs (12 piglets). In the activation study, FM devices were activated at varying distances from the RLN. In the cooling study, FM devices were cooled for varying time intervals, or muscle touch maneuver was performed, before contact with the RLN.
Results
During the FMwand/FMsealer activation, no adverse EMG events occurred at distances of 2 mm or longer. The cooling study revealed no adverse EMG events after 1‐second (FMwand) or 3‐second (FMsealer) intervals or after muscle touch maneuver.
Conclusions
An FM device should be activated at a distance of 2 mm from the RLN and should be adequately cooled before further contact with the RLN. Surgeons can avoid RLN injury by observing standard procedures for using FM devices.</description><identifier>ISSN: 1043-3074</identifier><identifier>EISSN: 1097-0347</identifier><identifier>DOI: 10.1002/hed.26334</identifier><identifier>PMID: 32567742</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>continuous intraoperative neuromonitoring ; Electromyography ; ferromagnetic device ; Head and neck ; nerve thermal injury ; recurrent laryngeal nerve ; Surgery ; Thyroid ; thyroid surgery ; Thyroidectomy</subject><ispartof>Head & neck, 2020-10, Vol.42 (10), p.2931-2940</ispartof><rights>2020 Wiley Periodicals, Inc.</rights><rights>2020 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3884-8d2a5cc752efbb1b5f0a48f5f57d9a57609d44dcbad573660c16ad7eaf6756d93</citedby><cites>FETCH-LOGICAL-c3884-8d2a5cc752efbb1b5f0a48f5f57d9a57609d44dcbad573660c16ad7eaf6756d93</cites><orcidid>0000-0002-5044-0325 ; 0000-0003-4066-9465 ; 0000-0002-6731-3912 ; 0000-0003-0487-228X ; 0000-0002-9626-534X ; 0000-0003-0864-6087 ; 0000-0001-8830-3433 ; 0000-0003-1052-5348 ; 0000-0001-6643-1071 ; 0000-0001-8068-1085</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fhed.26334$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fhed.26334$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32567742$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Huang, Tzu‐Yen</creatorcontrib><creatorcontrib>Lin, Yi‐Chu</creatorcontrib><creatorcontrib>Tseng, Hsin‐Yi</creatorcontrib><creatorcontrib>Dionigi, Gianlorenzo</creatorcontrib><creatorcontrib>Kim, Hoon Yub</creatorcontrib><creatorcontrib>Chai, Young Jun</creatorcontrib><creatorcontrib>Lu, I‐Cheng</creatorcontrib><creatorcontrib>Chang, Pi‐Ying</creatorcontrib><creatorcontrib>Chiang, Feng‐Yu</creatorcontrib><creatorcontrib>Wu, Che‐Wei</creatorcontrib><title>Safety parameters of ferromagnetic device during thyroid surgery: Porcine model using continuous neuromonitoring</title><title>Head & neck</title><addtitle>Head Neck</addtitle><description>Background
The ferromagnetic (FM) device is a new surgical energy modality. This study investigated dynamic recurrent laryngeal nerve (RLN) electromyographic (EMG) data to define safety parameters for using FM devices in thyroidectomy.
Methods
Real‐time EMG tracings obtained under continuous neuromonitoring were recorded from 24 RLNs (12 piglets). In the activation study, FM devices were activated at varying distances from the RLN. In the cooling study, FM devices were cooled for varying time intervals, or muscle touch maneuver was performed, before contact with the RLN.
Results
During the FMwand/FMsealer activation, no adverse EMG events occurred at distances of 2 mm or longer. The cooling study revealed no adverse EMG events after 1‐second (FMwand) or 3‐second (FMsealer) intervals or after muscle touch maneuver.
Conclusions
An FM device should be activated at a distance of 2 mm from the RLN and should be adequately cooled before further contact with the RLN. Surgeons can avoid RLN injury by observing standard procedures for using FM devices.</description><subject>continuous intraoperative neuromonitoring</subject><subject>Electromyography</subject><subject>ferromagnetic device</subject><subject>Head and neck</subject><subject>nerve thermal injury</subject><subject>recurrent laryngeal nerve</subject><subject>Surgery</subject><subject>Thyroid</subject><subject>thyroid surgery</subject><subject>Thyroidectomy</subject><issn>1043-3074</issn><issn>1097-0347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp10U1LHTEUBuBQlGptF_0DJeDGLkYz-ZzrrqhVQWih7XrIJCfXyExyTSaV-ffN7dWN4CohPHk5nBehzy05bQmhZ_dgT6lkjL9Dhy1ZqYYwrva2d84aRhQ_QB9yfiCEMMnpe3TAqJBKcXqINr-0g3nBG530BDOkjKPDDlKKk14HmL3BFv56A9iW5MMaz_dLit7iXNIa0nKOf8ZkfAA8RQsjLnmLTAyzDyWWjAOUmhWDn-P2_0e07_SY4dPzeYT-fL_6fXHT3P24vr34dtcY1nW86SzVwhglKLhhaAfhiOadE04ou9JCSbKynFszaCsUk5KYVmqrQDuphLQrdoROdrmbFB8L5LmffDYwjjpAHaunvBUdky3pKj1-RR9iSaFOVxUnknRS0aq-7pRJMecErt8kP-m09C3ptzX0tYb-fw3VfnlOLMNUX1_ky94rONuBJz_C8nZSf3N1uYv8B_fCk6o</recordid><startdate>202010</startdate><enddate>202010</enddate><creator>Huang, Tzu‐Yen</creator><creator>Lin, Yi‐Chu</creator><creator>Tseng, Hsin‐Yi</creator><creator>Dionigi, Gianlorenzo</creator><creator>Kim, Hoon Yub</creator><creator>Chai, Young Jun</creator><creator>Lu, I‐Cheng</creator><creator>Chang, Pi‐Ying</creator><creator>Chiang, Feng‐Yu</creator><creator>Wu, Che‐Wei</creator><general>John Wiley & Sons, Inc</general><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7TK</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-5044-0325</orcidid><orcidid>https://orcid.org/0000-0003-4066-9465</orcidid><orcidid>https://orcid.org/0000-0002-6731-3912</orcidid><orcidid>https://orcid.org/0000-0003-0487-228X</orcidid><orcidid>https://orcid.org/0000-0002-9626-534X</orcidid><orcidid>https://orcid.org/0000-0003-0864-6087</orcidid><orcidid>https://orcid.org/0000-0001-8830-3433</orcidid><orcidid>https://orcid.org/0000-0003-1052-5348</orcidid><orcidid>https://orcid.org/0000-0001-6643-1071</orcidid><orcidid>https://orcid.org/0000-0001-8068-1085</orcidid></search><sort><creationdate>202010</creationdate><title>Safety parameters of ferromagnetic device during thyroid surgery: Porcine model using continuous neuromonitoring</title><author>Huang, Tzu‐Yen ; Lin, Yi‐Chu ; Tseng, Hsin‐Yi ; Dionigi, Gianlorenzo ; Kim, Hoon Yub ; Chai, Young Jun ; Lu, I‐Cheng ; Chang, Pi‐Ying ; Chiang, Feng‐Yu ; Wu, Che‐Wei</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3884-8d2a5cc752efbb1b5f0a48f5f57d9a57609d44dcbad573660c16ad7eaf6756d93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>continuous intraoperative neuromonitoring</topic><topic>Electromyography</topic><topic>ferromagnetic device</topic><topic>Head and neck</topic><topic>nerve thermal injury</topic><topic>recurrent laryngeal nerve</topic><topic>Surgery</topic><topic>Thyroid</topic><topic>thyroid surgery</topic><topic>Thyroidectomy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Huang, Tzu‐Yen</creatorcontrib><creatorcontrib>Lin, Yi‐Chu</creatorcontrib><creatorcontrib>Tseng, Hsin‐Yi</creatorcontrib><creatorcontrib>Dionigi, Gianlorenzo</creatorcontrib><creatorcontrib>Kim, Hoon Yub</creatorcontrib><creatorcontrib>Chai, Young Jun</creatorcontrib><creatorcontrib>Lu, I‐Cheng</creatorcontrib><creatorcontrib>Chang, Pi‐Ying</creatorcontrib><creatorcontrib>Chiang, Feng‐Yu</creatorcontrib><creatorcontrib>Wu, Che‐Wei</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Head & neck</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Huang, Tzu‐Yen</au><au>Lin, Yi‐Chu</au><au>Tseng, Hsin‐Yi</au><au>Dionigi, Gianlorenzo</au><au>Kim, Hoon Yub</au><au>Chai, Young Jun</au><au>Lu, I‐Cheng</au><au>Chang, Pi‐Ying</au><au>Chiang, Feng‐Yu</au><au>Wu, Che‐Wei</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Safety parameters of ferromagnetic device during thyroid surgery: Porcine model using continuous neuromonitoring</atitle><jtitle>Head & neck</jtitle><addtitle>Head Neck</addtitle><date>2020-10</date><risdate>2020</risdate><volume>42</volume><issue>10</issue><spage>2931</spage><epage>2940</epage><pages>2931-2940</pages><issn>1043-3074</issn><eissn>1097-0347</eissn><abstract>Background
The ferromagnetic (FM) device is a new surgical energy modality. This study investigated dynamic recurrent laryngeal nerve (RLN) electromyographic (EMG) data to define safety parameters for using FM devices in thyroidectomy.
Methods
Real‐time EMG tracings obtained under continuous neuromonitoring were recorded from 24 RLNs (12 piglets). In the activation study, FM devices were activated at varying distances from the RLN. In the cooling study, FM devices were cooled for varying time intervals, or muscle touch maneuver was performed, before contact with the RLN.
Results
During the FMwand/FMsealer activation, no adverse EMG events occurred at distances of 2 mm or longer. The cooling study revealed no adverse EMG events after 1‐second (FMwand) or 3‐second (FMsealer) intervals or after muscle touch maneuver.
Conclusions
An FM device should be activated at a distance of 2 mm from the RLN and should be adequately cooled before further contact with the RLN. Surgeons can avoid RLN injury by observing standard procedures for using FM devices.</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>32567742</pmid><doi>10.1002/hed.26334</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-5044-0325</orcidid><orcidid>https://orcid.org/0000-0003-4066-9465</orcidid><orcidid>https://orcid.org/0000-0002-6731-3912</orcidid><orcidid>https://orcid.org/0000-0003-0487-228X</orcidid><orcidid>https://orcid.org/0000-0002-9626-534X</orcidid><orcidid>https://orcid.org/0000-0003-0864-6087</orcidid><orcidid>https://orcid.org/0000-0001-8830-3433</orcidid><orcidid>https://orcid.org/0000-0003-1052-5348</orcidid><orcidid>https://orcid.org/0000-0001-6643-1071</orcidid><orcidid>https://orcid.org/0000-0001-8068-1085</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | continuous intraoperative neuromonitoring Electromyography ferromagnetic device Head and neck nerve thermal injury recurrent laryngeal nerve Surgery Thyroid thyroid surgery Thyroidectomy |
| title | Safety parameters of ferromagnetic device during thyroid surgery: Porcine model using continuous neuromonitoring |
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