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Recurrent Laryngeal Nerve Monitoring in Thyroid Surgery
Neuromonitoring is being advocated for the rapid and reliable identification of the recurrent laryngeal nerve and for predicting the postoperative vocal cord mobility. Neuromonitoring is useful for identifying the recurrent laryngeal nerve, in particularly if the anatomic situation is complicated by previous neck surgery which resulted in significant scarring , large thyroid goiter, aberrant nerve course. Special electrode is connected to the endotracheal tube that located on the surface of the vocal cords, and then connected to an EMG monitor. Using probe, the surgeon can continuously monitor the nerve during a surgical procedure.
External Branch of the Superior Laryngeal Nerve Monitoring in Thyroid Surgery
External branch of the superior laryngeal nerve is responsible for high pitched voice and voice projection. This is especially important for singers, teachers and public speakers. Monitoring of the external branch of the superior laryngeal nerve is performed during minimally invasive thyroid surgery under local anesthesia or general anesthesia. Special electrodes are used to stimulate the crycothyroid muscle and see response. Monitoring of the external branch of the superior laryngeal nerve helps the surgeon to localize it and preserve it.
The Team
Dr Alan Colicchio, M.D. and his group provide service and equipment for the recurrent larungeal nerve and external branch of the superior laryngeal nerve monitoring during thyroid surgery.
Dr Alan Colicchio is Board Certified in Neurology in 1990
His is part of Monmouth-Ocean Neurology, P.C.
Address:
1944 Corlies Avenue
Suite 206
Neptune, NJ 07753
Telephone: (732) 774-8282
Fax: (732) 774-6816
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