Table 2. Standardized operating procedures of IONM.
Abbreviations | Specific procedure | Current intensity (mA) | Mapping site |
---|---|---|---|
L1 | Examine the larynx preoperatively to assess the basic condition of vocal fold function | – | – |
V1 | Map the VN before the start of procedures at the operative field | 3.0 | Distal end of the nerve (at the level of the inferior pole of the thyroid) |
R1 | Map the RLN after it is precisely located or initial exposed | 1.0 | Proximal end of the nerve (in the tracheoesophageal groove) |
S1 | Map the EBSLN before the handling of vessels at the superior pole of the thyroid | 1.0 | The sternothyroid-larynx triangle |
S2 | Map the EBSLN after the ligation of vessels at the superior pole of the thyroid | 1.0 | Innervation area |
R2 | Map the RLN upon the completion of procedures at the operative field | 1.0 | Proximal end of the exposed nerve |
V2 | Map the VN upon the completion of procedures at the operative field | 3.0 | Distal end of the nerve (at the level of the inferior pole of the thyroid) |
L2 | Examine the larynx postoperatively, as appropriate | – | – |
IONM, intraoperative neuromonitoring; VN, vagus nerve; RLN, recurrent laryngeal nerve; EBSLN, external branch of the superior laryngeal nerve.