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This book provides detailed information about neuromonitoring in thyroid and parotid surgery. In an easy-to-learn format, this book presents the reader with indications and rationale for neuromonitoring use, differences between intermittent and continuous neuromonitoring in thyroid surgery, a detailed description of how to do it in open and endoscopic approaches, loss of signal and how to proceed, outcomes, and neuromonitoring in robotic surgery. Detailed information about how to use neuromonitoring in parotid surgery is also presented. This book is the expert all surgeons need to correctly use neuromonitoring in thyroid and parotid surgery.
List of contents
. THYROID SURGERY.- 1. Anatomy of the thyroid gland, RLN, and EBSLN.- 2. The rationale of IONM in thyroid surgery.- 3. Indications for IONM in thyroid surgery.- 4. Anesthesia and IONM in thyroid surgery.- 5. I-ONM vs C-IONM.- 6. IONM of the RLN: How to do it?.- 7. C-IONM of the RLN: How to do it?.- 8. Using Nervetrend.- 9. Neuromonitoring the EBSLN.- 10. Transoral Endoscopic Thyroidectomy Vestibular Approach (TOETVA) and IONM.- 11. Endoscopic Transaxillary Thyroidectomy and IONM.- 12. Loss of signal and nerve injury.- 13. Outcomes of IONM in thyroid surgery.- 14. Robotic surgery and IONM.- 15. Anatomy of the parotid gland and the facial nerve.- 16. The rationale of IONM in parotid surgery.- 17. Indications for IONM in parotid surgery.- 18. Anesthesia and IONM in parotid surgery.- 19. Neuromonitoring the facial nerve: How to do it?.- 20. Outcomes of IONM in parotid surgery.
About the author
Carlos Eduardo Costa de Almeida graduated in Medicine from the University of Coimbra in 2004 and completed the General Surgery residency in 2012 obtaining the best national classification. He was an Assistant Professor of Surgery and Vascular Surgery at the University of Coimbra till 2021. He is a surgeon at the Head and Neck Surgery Department of the Portuguese Oncology Institute of Coimbra (IPO Coimbra) and at the General Surgery Department of Hospital CUF Coimbra. He performs endocrine surgery with neuromonitoring, oncologic surgery, gallbladder surgery, abdominal wall surgery, varicose veins surgery, laser proctological surgery, SiLaC, and he is an expert in minimally invasive surgical techniques. Creator of the Fellowship of Endocrine Surgery held in IPO Coimbra. He lectures about adrenal surgery, thyroid surgery, and neuromonitoring. He is the editor of the Springer book “Posterior Retroperitoneoscopic Adrenalectomy. Indications, Technical Steps and Outcomes”, published in 2023. Author of several books and articles about different topics in surgery, and author of the first worldwide report of Almeida-Reis Hernia. Creator and author of the “Surgical Thoughts: A blog about surgery” since 2016. Member of Administration Board of the Portuguese Society for Surgery, from 2020 to 2024. Member of the Endocrine and Head and Neck Surgery Chapter of the Portuguese Society for Surgery, and member of the European Society of Endocrine Surgeons.
Francesca Torresan is a consultant surgeon at the Endocrine Surgery Unit, Department of Surgery, at Padova University Hospital, Italy. She graduated in Medicine and completed the residency in General Surgery at Padova University. She has been granted a doctor’s degree in 2022 by the Faculty of Health, Medicine and Life Sciences of Maastricht University, on a study on the excess aldosterone as a mechanism of resistant salt-sensitive arterial hypertension. She is Regional Delegate of the Italian Society of Endocrine Surgeons (SIUEC). She is author of more than 50 original publications in the field of endocrine disorders (H-index 15) with more than 600 citations.
Summary
This book provides detailed information about neuromonitoring in thyroid and parotid surgery. In an easy-to-learn format, this book presents the reader with indications and rationale for neuromonitoring use, differences between intermittent and continuous neuromonitoring in thyroid surgery, a detailed description of how to do it in open and endoscopic approaches, loss of signal and how to proceed, outcomes, and neuromonitoring in robotic surgery. Detailed information about how to use neuromonitoring in parotid surgery is also presented. This book is the expert all surgeons need to correctly use neuromonitoring in thyroid and parotid surgery.
