@article{a9d89c9777304fcc99a1d9a034ca758a,
title = "Safety parameters of ferromagnetic device during thyroid surgery: Porcine model using continuous neuromonitoring",
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.",
keywords = "continuous intraoperative neuromonitoring, ferromagnetic device, nerve thermal injury, recurrent laryngeal nerve, thyroid surgery",
author = "Huang, {Tzu Yen} and Lin, {Yi Chu} and Tseng, {Hsin Yi} and Gianlorenzo Dionigi and Kim, {Hoon Yub} and Chai, {Young Jun} and Lu, {I. Cheng} and Chang, {Pi Ying} and Chiang, {Feng Yu} and Wu, {Che Wei}",
note = "Funding Information: Kaohsiung Medical University Chung‐Ho Memorial Hospital, Grant/Award Numbers: KMUH SA10807c, KMUH107‐7R50, KMUH108‐8M48; Kaohsiung Municipal Siaogang Hospital, Kaohsiung Medical University, Grant/Award Numbers: H‐108‐005, KMHK‐DK109004; Ministry of Science and Technology, Taiwan, Grant/Award Number: MOST 108‐2628‐B‐037‐006 Funding information Funding Information: This study was supported by grants from Kaohsiung Medical University Hospital, Kaohsiung Medical University (KMUH107‐7R50, KMUH108‐8M48, KMUH SA10807c), Kaohsiung Municipal Siaogang Hospital, Kaohsiung Medical University (H‐108‐005, KMHK‐DK109004), and from Ministry of Science and Technology (MOST 108‐2628‐B‐037‐006), Taiwan. Funding Information: This study was supported by grants from Kaohsiung Medical University Hospital, Kaohsiung Medical University (KMUH107-7R50, KMUH108-8M48, KMUH SA10807c), Kaohsiung Municipal Siaogang Hospital, Kaohsiung Medical University (H-108-005, KMHK-DK109004), and from Ministry of Science and Technology (MOST 108-2628-B-037-006), Taiwan. Publisher Copyright: {\textcopyright} 2020 Wiley Periodicals, Inc.",
year = "2020",
month = oct,
day = "1",
doi = "10.1002/hed.26334",
language = "English",
volume = "42",
pages = "2931--2940",
journal = "Head and Neck",
issn = "1043-3074",
publisher = "John Wiley and Sons Inc.",
number = "10",
}