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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Autores principales:	Tie Wang, Gianlorenzo Dionigi, Yishen Zhao, Daqi Zhang, Antonella Pino, Henning Dralle, Che-Wei Wu, Le Zhou, Hui Sun
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/47c02a67c88043ce98d418a4f8f51b41
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spelling	oai:doaj.org-article:47c02a67c88043ce98d418a4f8f51b412021-12-02T11:39:47ZTensile strength analysis of automatic periodic stimulation for continuous intraoperative neural monitoring in a piglet model10.1038/s41598-021-84988-y2045-2322https://doaj.org/article/47c02a67c88043ce98d418a4f8f51b412021-03-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-84988-yhttps://doaj.org/toc/2045-2322Abstract 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.Tie WangGianlorenzo DionigiYishen ZhaoDaqi ZhangAntonella PinoHenning DralleChe-Wei WuLe ZhouHui SunNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-6 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q 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
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.
format	article
author	Tie Wang Gianlorenzo Dionigi Yishen Zhao Daqi Zhang Antonella Pino Henning Dralle Che-Wei Wu Le Zhou Hui Sun
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 Portfolio
publishDate	2021
url	https://doaj.org/article/47c02a67c88043ce98d418a4f8f51b41
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_version_	1718395698415665152

Tensile strength analysis of automatic periodic stimulation for continuous intraoperative neural monitoring in a piglet model

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