Tensile strength analysis of automatic periodic stimulation for continuous intraoperative neural monitoring in a piglet model
Abstract Continuous intraoperative neural monitoring (C-IONM) during thyroid surgery is a useful tool for preventing recurrent laryngeal nerve (RLN) injury. The present study aims to analyze the tensile strength tolerance of C-IONM electrodes on the vagal nerve (VN). A C-IONM wire was enclosed in a...
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doaj-47c02a67c88043ce98d418a4f8f51b412021-03-21T12:37:46ZengNature Publishing GroupScientific Reports2045-23222021-03-011111610.1038/s41598-021-84988-yTensile strength analysis of automatic periodic stimulation for continuous intraoperative neural monitoring in a piglet modelTie Wang0Gianlorenzo Dionigi1Yishen Zhao2Daqi Zhang3Antonella Pino4Henning Dralle5Che-Wei Wu6Le Zhou7Hui Sun8Division of Thyroid Surgery, China-Japan Union Hospital of Jilin University, Jilin Provincial Key Laboratory of Surgical Translational MedicineDivision for Endocrine and Minimally Invasive Surgery, Department of Human Pathology in Adulthood and Childhood “G. Barresi”, University Hospital G. Martino, University of MessinaDivision of Thyroid Surgery, China-Japan Union Hospital of Jilin University, Jilin Provincial Key Laboratory of Surgical Translational MedicineDivision of Thyroid Surgery, China-Japan Union Hospital of Jilin University, Jilin Provincial Key Laboratory of Surgical Translational MedicineDivision for Endocrine and Minimally Invasive Surgery, Department of Human Pathology in Adulthood and Childhood “G. Barresi”, University Hospital G. Martino, University of MessinaSection of Endocrine Surgery, Department of General Visceral and Transplantation Surgery, University of Duisburg-EssenFaculty of Medicine, College of Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical UniversityDivision of Thyroid Surgery, China-Japan Union Hospital of Jilin University, Jilin Provincial Key Laboratory of Surgical Translational MedicineDivision of Thyroid Surgery, China-Japan Union Hospital of Jilin University, Jilin Provincial Key Laboratory of Surgical Translational MedicineAbstract Continuous intraoperative neural monitoring (C-IONM) during thyroid surgery is a useful tool for preventing recurrent laryngeal nerve (RLN) injury. The present study aims to analyze the tensile strength tolerance of C-IONM electrodes on the vagal nerve (VN). A C-IONM wire was enclosed in a hand-held tensile testing system. The probe displacement on the VN was continuously monitored by positioning a second probe far-up/proximally in a piglet model, and an automatic periodic stimulation (APS) accessory was used. The 3-mm and 2-mm APS accessory has a mean tensile strength of 20.6 ± 10 N (range, 14.6–24.4 N) and 11.25 ± 8 N (range, 8.4–15.6 N), respectively (P = 0.002). There was no difference between bilateral VNs. The mean amplitude before and during electrode displacement was 1.835 ± 102 μV and 1.795 ± 169 μV, respectively (P = 0.45). The mean percentage of amplitude decrease on the electromyography (EMG) was 6.9 ± 2.5%, and the mean percentage of latency increase was 1.9 ± 1.5%. No significant amplitude reduction or loss of signal (LOS) was observed after > 50 probe dislocations. C-IONM probe dislocation does not cause any LOS or significant EMG alterations on the VN.https://doi.org/10.1038/s41598-021-84988-y |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Tie Wang Gianlorenzo Dionigi Yishen Zhao Daqi Zhang Antonella Pino Henning Dralle Che-Wei Wu Le Zhou Hui Sun |
spellingShingle |
Tie Wang Gianlorenzo Dionigi Yishen Zhao Daqi Zhang Antonella Pino Henning Dralle Che-Wei Wu Le Zhou Hui Sun Tensile strength analysis of automatic periodic stimulation for continuous intraoperative neural monitoring in a piglet model Scientific Reports |
author_facet |
Tie Wang Gianlorenzo Dionigi Yishen Zhao Daqi Zhang Antonella Pino Henning Dralle Che-Wei Wu Le Zhou Hui Sun |
author_sort |
Tie Wang |
title |
Tensile strength analysis of automatic periodic stimulation for continuous intraoperative neural monitoring in a piglet model |
title_short |
Tensile strength analysis of automatic periodic stimulation for continuous intraoperative neural monitoring in a piglet model |
title_full |
Tensile strength analysis of automatic periodic stimulation for continuous intraoperative neural monitoring in a piglet model |
title_fullStr |
Tensile strength analysis of automatic periodic stimulation for continuous intraoperative neural monitoring in a piglet model |
title_full_unstemmed |
Tensile strength analysis of automatic periodic stimulation for continuous intraoperative neural monitoring in a piglet model |
title_sort |
tensile strength analysis of automatic periodic stimulation for continuous intraoperative neural monitoring in a piglet model |
publisher |
Nature Publishing Group |
series |
Scientific Reports |
issn |
2045-2322 |
publishDate |
2021-03-01 |
description |
Abstract Continuous intraoperative neural monitoring (C-IONM) during thyroid surgery is a useful tool for preventing recurrent laryngeal nerve (RLN) injury. The present study aims to analyze the tensile strength tolerance of C-IONM electrodes on the vagal nerve (VN). A C-IONM wire was enclosed in a hand-held tensile testing system. The probe displacement on the VN was continuously monitored by positioning a second probe far-up/proximally in a piglet model, and an automatic periodic stimulation (APS) accessory was used. The 3-mm and 2-mm APS accessory has a mean tensile strength of 20.6 ± 10 N (range, 14.6–24.4 N) and 11.25 ± 8 N (range, 8.4–15.6 N), respectively (P = 0.002). There was no difference between bilateral VNs. The mean amplitude before and during electrode displacement was 1.835 ± 102 μV and 1.795 ± 169 μV, respectively (P = 0.45). The mean percentage of amplitude decrease on the electromyography (EMG) was 6.9 ± 2.5%, and the mean percentage of latency increase was 1.9 ± 1.5%. No significant amplitude reduction or loss of signal (LOS) was observed after > 50 probe dislocations. C-IONM probe dislocation does not cause any LOS or significant EMG alterations on the VN. |
url |
https://doi.org/10.1038/s41598-021-84988-y |
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