Investigation of attachment location of adhesive skin electrodes for intraoperative neuromonitoring in thyroid surgery: Preclinical and clinical studies
Recently, adhesive skin electrodes have been reported to be useful for recording electromyographic signals from intrinsic laryngeal muscles for intraoperative neuromonitoring in thyroid surgery and have shown good results compared to existing recording methods. In this study, we investigated the opt...
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| Veröffentlicht in: | Surgery 2022-02, Vol.171 (2), p.377-383 |
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| creator | Shin, Sung-Chan Sung, Eui-Suk Kwon, Hyun-Keun Cheon, Yong-Il Lee, Minhyung Lee, Jin-Choon Kim, Bo Hyun Kim, In Ju Lee, Byung-Joo |
| description | Recently, adhesive skin electrodes have been reported to be useful for recording electromyographic signals from intrinsic laryngeal muscles for intraoperative neuromonitoring in thyroid surgery and have shown good results compared to existing recording methods. In this study, we investigated the optimal attachment location of adhesive skin electrodes for intraoperative neuromonitoring in both porcine models and human cases.
Attachment locations were divided vertically into upper, middle, and lower locations and horizontally into medial and lateral locations to determine the optimal location of placing adhesive skin electrodes preclinically in four porcine models. This study included a total of 78 patients who underwent thyroidectomy under intraoperative neuromonitoring with adhesive skin electrodes. Sixteen patients were monitored using both adhesive skin electrodes and an electromyographic endotracheal tube. Two pairs of skin electrodes were attached to the level of the thyroid cartilage lamina. Evoked electromyographic data, including data on mean amplitude and latency, obtained by stimulating the recurrent laryngeal nerve and vagus nerve, were collected.
Lateral attachment of adhesive skin electrodes showed significantly higher evoked amplitudes than medial attachment in both animal models and human patients. In cases where skin electrodes and an electromyographic endotracheal tube were used together, the electromyographic endotracheal tube showed a significantly higher amplitude than skin electrodes, and laterally attached skin electrodes showed a significantly higher amplitude than medially attached skin electrodes.
Intraoperative neuromonitoring using adhesive skin electrodes was feasible in both animal models and human patients. We suggest that it would be better to attach adhesive skin electrodes to the lateral side of the thyroid cartilage lamina. Lateral attachment closer to the cricoarytenoid joint may be better for measuring muscle movement around the cricoarytenoid joint. |
| doi_str_mv | 10.1016/j.surg.2021.07.037 |
| format | Article |
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Attachment locations were divided vertically into upper, middle, and lower locations and horizontally into medial and lateral locations to determine the optimal location of placing adhesive skin electrodes preclinically in four porcine models. This study included a total of 78 patients who underwent thyroidectomy under intraoperative neuromonitoring with adhesive skin electrodes. Sixteen patients were monitored using both adhesive skin electrodes and an electromyographic endotracheal tube. Two pairs of skin electrodes were attached to the level of the thyroid cartilage lamina. Evoked electromyographic data, including data on mean amplitude and latency, obtained by stimulating the recurrent laryngeal nerve and vagus nerve, were collected.
Lateral attachment of adhesive skin electrodes showed significantly higher evoked amplitudes than medial attachment in both animal models and human patients. In cases where skin electrodes and an electromyographic endotracheal tube were used together, the electromyographic endotracheal tube showed a significantly higher amplitude than skin electrodes, and laterally attached skin electrodes showed a significantly higher amplitude than medially attached skin electrodes.
Intraoperative neuromonitoring using adhesive skin electrodes was feasible in both animal models and human patients. We suggest that it would be better to attach adhesive skin electrodes to the lateral side of the thyroid cartilage lamina. Lateral attachment closer to the cricoarytenoid joint may be better for measuring muscle movement around the cricoarytenoid joint.</description><identifier>ISSN: 0039-6060</identifier><identifier>EISSN: 1532-7361</identifier><identifier>DOI: 10.1016/j.surg.2021.07.037</identifier><identifier>PMID: 34563352</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adhesives ; Adult ; Aged ; Animals ; Electrodes ; Electromyography - methods ; Female ; Humans ; Intraoperative Neurophysiological Monitoring - methods ; Intubation, Intratracheal ; Laryngeal Muscles - innervation ; Male ; Middle Aged ; Models, Animal ; Swine ; Thyroid Gland - surgery ; Thyroidectomy</subject><ispartof>Surgery, 2022-02, Vol.171 (2), p.377-383</ispartof><rights>2021 Elsevier Inc.</rights><rights>Copyright © 2021 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c356t-fde84879d8145d54cfe2fcc31f3df0e5f6a002d77fb3f846037e1307a98ac7993</citedby><cites>FETCH-LOGICAL-c356t-fde84879d8145d54cfe2fcc31f3df0e5f6a002d77fb3f846037e1307a98ac7993</cites><orcidid>0000-0003-2329-0648</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0039606021007674$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34563352$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shin, Sung-Chan</creatorcontrib><creatorcontrib>Sung, Eui-Suk</creatorcontrib><creatorcontrib>Kwon, Hyun-Keun</creatorcontrib><creatorcontrib>Cheon, Yong-Il</creatorcontrib><creatorcontrib>Lee, Minhyung</creatorcontrib><creatorcontrib>Lee, Jin-Choon</creatorcontrib><creatorcontrib>Kim, Bo Hyun</creatorcontrib><creatorcontrib>Kim, In Ju</creatorcontrib><creatorcontrib>Lee, Byung-Joo</creatorcontrib><title>Investigation of attachment location of adhesive skin electrodes for intraoperative neuromonitoring in thyroid surgery: Preclinical and clinical studies</title><title>Surgery</title><addtitle>Surgery</addtitle><description>Recently, adhesive skin electrodes have been reported to be useful for recording electromyographic signals from intrinsic laryngeal muscles for intraoperative neuromonitoring in thyroid surgery and have shown good results compared to existing recording methods. In this study, we investigated the optimal attachment location of adhesive skin electrodes for intraoperative neuromonitoring in both porcine models and human cases.
Attachment locations were divided vertically into upper, middle, and lower locations and horizontally into medial and lateral locations to determine the optimal location of placing adhesive skin electrodes preclinically in four porcine models. This study included a total of 78 patients who underwent thyroidectomy under intraoperative neuromonitoring with adhesive skin electrodes. Sixteen patients were monitored using both adhesive skin electrodes and an electromyographic endotracheal tube. Two pairs of skin electrodes were attached to the level of the thyroid cartilage lamina. Evoked electromyographic data, including data on mean amplitude and latency, obtained by stimulating the recurrent laryngeal nerve and vagus nerve, were collected.
Lateral attachment of adhesive skin electrodes showed significantly higher evoked amplitudes than medial attachment in both animal models and human patients. In cases where skin electrodes and an electromyographic endotracheal tube were used together, the electromyographic endotracheal tube showed a significantly higher amplitude than skin electrodes, and laterally attached skin electrodes showed a significantly higher amplitude than medially attached skin electrodes.
Intraoperative neuromonitoring using adhesive skin electrodes was feasible in both animal models and human patients. We suggest that it would be better to attach adhesive skin electrodes to the lateral side of the thyroid cartilage lamina. Lateral attachment closer to the cricoarytenoid joint may be better for measuring muscle movement around the cricoarytenoid joint.</description><subject>Adhesives</subject><subject>Adult</subject><subject>Aged</subject><subject>Animals</subject><subject>Electrodes</subject><subject>Electromyography - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Intraoperative Neurophysiological Monitoring - methods</subject><subject>Intubation, Intratracheal</subject><subject>Laryngeal Muscles - innervation</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Models, Animal</subject><subject>Swine</subject><subject>Thyroid Gland - surgery</subject><subject>Thyroidectomy</subject><issn>0039-6060</issn><issn>1532-7361</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kcGOFCEQhonRuOPqC3gwHL10WzTd0G28mI26m2yiBz0TFooZxh4YgZ5k3mQfVyaz7t48kaK--qH-n5C3DFoGTHzYtnlJ67aDjrUgW-DyGVmxgXeN5II9JysAPjUCBFyQVzlvAWDq2fiSXPB-EJwP3Yrc34QD5uLXuvgYaHRUl6LNZoeh0Dmap2u7wewPSPNvHyjOaEqKFjN1MVEfStJxj6niFQm4pLiLwZeYfFjXNi2bY4re0tOPMR0_0h8JzeyDN3qmOlj6WOSyWI_5NXnh9JzxzcN5SX59_fLz6rq5_f7t5urzbWP4IErjLI79KCc7sn6wQ28cds4Yzhy3DnBwQgN0Vkp3x93Yi2oSMg5ST6M2cpr4JXl_1t2n-GepVqidzwbnWQeMS1bdIMUEgk-sot0ZNSnmnNCpffI7nY6KgTolorbqtJ86JaJAqvpYHXr3oL_c7dA-jvyLoAKfzgDWLQ8ek8rGYzBofbWoKBv9__T_AmDGogY</recordid><startdate>202202</startdate><enddate>202202</enddate><creator>Shin, Sung-Chan</creator><creator>Sung, Eui-Suk</creator><creator>Kwon, Hyun-Keun</creator><creator>Cheon, Yong-Il</creator><creator>Lee, Minhyung</creator><creator>Lee, Jin-Choon</creator><creator>Kim, Bo Hyun</creator><creator>Kim, In Ju</creator><creator>Lee, Byung-Joo</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-2329-0648</orcidid></search><sort><creationdate>202202</creationdate><title>Investigation of attachment location of adhesive skin electrodes for intraoperative neuromonitoring in thyroid surgery: Preclinical and clinical studies</title><author>Shin, Sung-Chan ; Sung, Eui-Suk ; Kwon, Hyun-Keun ; Cheon, Yong-Il ; Lee, Minhyung ; Lee, Jin-Choon ; Kim, Bo Hyun ; Kim, In Ju ; Lee, Byung-Joo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c356t-fde84879d8145d54cfe2fcc31f3df0e5f6a002d77fb3f846037e1307a98ac7993</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Adhesives</topic><topic>Adult</topic><topic>Aged</topic><topic>Animals</topic><topic>Electrodes</topic><topic>Electromyography - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Intraoperative Neurophysiological Monitoring - methods</topic><topic>Intubation, Intratracheal</topic><topic>Laryngeal Muscles - innervation</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Models, Animal</topic><topic>Swine</topic><topic>Thyroid Gland - surgery</topic><topic>Thyroidectomy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shin, Sung-Chan</creatorcontrib><creatorcontrib>Sung, Eui-Suk</creatorcontrib><creatorcontrib>Kwon, Hyun-Keun</creatorcontrib><creatorcontrib>Cheon, Yong-Il</creatorcontrib><creatorcontrib>Lee, Minhyung</creatorcontrib><creatorcontrib>Lee, Jin-Choon</creatorcontrib><creatorcontrib>Kim, Bo Hyun</creatorcontrib><creatorcontrib>Kim, In Ju</creatorcontrib><creatorcontrib>Lee, Byung-Joo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shin, Sung-Chan</au><au>Sung, Eui-Suk</au><au>Kwon, Hyun-Keun</au><au>Cheon, Yong-Il</au><au>Lee, Minhyung</au><au>Lee, Jin-Choon</au><au>Kim, Bo Hyun</au><au>Kim, In Ju</au><au>Lee, Byung-Joo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Investigation of attachment location of adhesive skin electrodes for intraoperative neuromonitoring in thyroid surgery: Preclinical and clinical studies</atitle><jtitle>Surgery</jtitle><addtitle>Surgery</addtitle><date>2022-02</date><risdate>2022</risdate><volume>171</volume><issue>2</issue><spage>377</spage><epage>383</epage><pages>377-383</pages><issn>0039-6060</issn><eissn>1532-7361</eissn><abstract>Recently, adhesive skin electrodes have been reported to be useful for recording electromyographic signals from intrinsic laryngeal muscles for intraoperative neuromonitoring in thyroid surgery and have shown good results compared to existing recording methods. In this study, we investigated the optimal attachment location of adhesive skin electrodes for intraoperative neuromonitoring in both porcine models and human cases.
Attachment locations were divided vertically into upper, middle, and lower locations and horizontally into medial and lateral locations to determine the optimal location of placing adhesive skin electrodes preclinically in four porcine models. This study included a total of 78 patients who underwent thyroidectomy under intraoperative neuromonitoring with adhesive skin electrodes. Sixteen patients were monitored using both adhesive skin electrodes and an electromyographic endotracheal tube. Two pairs of skin electrodes were attached to the level of the thyroid cartilage lamina. Evoked electromyographic data, including data on mean amplitude and latency, obtained by stimulating the recurrent laryngeal nerve and vagus nerve, were collected.
Lateral attachment of adhesive skin electrodes showed significantly higher evoked amplitudes than medial attachment in both animal models and human patients. In cases where skin electrodes and an electromyographic endotracheal tube were used together, the electromyographic endotracheal tube showed a significantly higher amplitude than skin electrodes, and laterally attached skin electrodes showed a significantly higher amplitude than medially attached skin electrodes.
Intraoperative neuromonitoring using adhesive skin electrodes was feasible in both animal models and human patients. We suggest that it would be better to attach adhesive skin electrodes to the lateral side of the thyroid cartilage lamina. Lateral attachment closer to the cricoarytenoid joint may be better for measuring muscle movement around the cricoarytenoid joint.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>34563352</pmid><doi>10.1016/j.surg.2021.07.037</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0003-2329-0648</orcidid></addata></record> |
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| ispartof | Surgery, 2022-02, Vol.171 (2), p.377-383 |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Adhesives Adult Aged Animals Electrodes Electromyography - methods Female Humans Intraoperative Neurophysiological Monitoring - methods Intubation, Intratracheal Laryngeal Muscles - innervation Male Middle Aged Models, Animal Swine Thyroid Gland - surgery Thyroidectomy |
| title | Investigation of attachment location of adhesive skin electrodes for intraoperative neuromonitoring in thyroid surgery: Preclinical and clinical studies |
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