TY - JOUR
T1 - Intraoperative Recurrent Laryngeal Nerve Monitoring During Pediatric Cardiac and Thoracic Surgery
T2 - A Mini Review
AU - Lawlor, Claire M.
AU - Zendejas, Benjamin
AU - Baird, Christopher
AU - Munoz-San Julian, Carlos
AU - Jennings, Russell W.
AU - Choi, Sukgi S.
N1 - Publisher Copyright:
© Copyright © 2020 Lawlor, Zendejas, Baird, Munoz-San Julian, Jennings and Choi.
PY - 2020/11/27
Y1 - 2020/11/27
N2 - Objective: Review techniques for intraoperative recurrent laryngeal nerve (RLN) monitoring during pediatric surgery for esophageal atresia, tracheoesophageal fistula, tracheobronchomalacia, and cardiac surgery. Summary Background Data: Literature was reviewed for reports of intraoperative recurrent laryngeal nerve monitoring in cervical, thoracic, and cardiac surgical procedures which place the RLNs at risk for injury. Methods: Review paper. Results: The RLN is at risk during pediatric surgery for esophageal atresia, tracheoesophageal fistula, tracheobronchomalacia, and cardiac surgery. Intraoperative nerve monitoring has decreased rates of RLN injury in thyroid surgery. Intraoperative RLN monitoring techniques appropriate for pediatric surgery are discussed, including endotracheal tubes with integrated surface electrodes, adhesive surface electrodes for smaller endotracheal tubes, endolaryngeal electrodes, and automatic periodic continuous intra-operative stimulation. Conclusions: Multiple techniques exist to monitor the RLN in children undergoing cervical, cardiac, and thoracic surgery. Monitoring the RLN during procedures that place the RLNs at risk may help decrease the rate of RLN injury.
AB - Objective: Review techniques for intraoperative recurrent laryngeal nerve (RLN) monitoring during pediatric surgery for esophageal atresia, tracheoesophageal fistula, tracheobronchomalacia, and cardiac surgery. Summary Background Data: Literature was reviewed for reports of intraoperative recurrent laryngeal nerve monitoring in cervical, thoracic, and cardiac surgical procedures which place the RLNs at risk for injury. Methods: Review paper. Results: The RLN is at risk during pediatric surgery for esophageal atresia, tracheoesophageal fistula, tracheobronchomalacia, and cardiac surgery. Intraoperative nerve monitoring has decreased rates of RLN injury in thyroid surgery. Intraoperative RLN monitoring techniques appropriate for pediatric surgery are discussed, including endotracheal tubes with integrated surface electrodes, adhesive surface electrodes for smaller endotracheal tubes, endolaryngeal electrodes, and automatic periodic continuous intra-operative stimulation. Conclusions: Multiple techniques exist to monitor the RLN in children undergoing cervical, cardiac, and thoracic surgery. Monitoring the RLN during procedures that place the RLNs at risk may help decrease the rate of RLN injury.
KW - esophageal atresia (EA)
KW - pediatric cardiac surgery
KW - recurrent laryngeal nerve (RLN)
KW - recurrent laryngeal nerve injury
KW - recurrent laryngeal nerve monitoring
KW - tracheobronchomalacia (TBM)
KW - tracheoesophageal fistula (TEF)
UR - http://www.scopus.com/inward/record.url?scp=85103594773&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85103594773&partnerID=8YFLogxK
U2 - 10.3389/fped.2020.587177
DO - 10.3389/fped.2020.587177
M3 - Review article
AN - SCOPUS:85103594773
SN - 2296-2360
VL - 8
JO - Frontiers in Pediatrics
JF - Frontiers in Pediatrics
M1 - 587177
ER -