Tactics of intraoperative neuromonitoring usage in thyroid surgery

Intraoperative neuromonitoring of the larynx (IONM) in thyroid surgery has been developed and improved from the last decade of the twentieth century. Our work presents the current state of knowledge about the use neuromonitoring in Poland, recommendations, tactics of using this tool and its advantages and disadvantages. It has been based on current research results and own experience. The latest data from the Endocrine, General and Vascular Surgery Department of Medical University of Lodz obtained from March 2010 to April 2019 were analysed. During this period 705 operations with neuromonitoring were carried out which is 7.49% of the total number of 9414 thyroid surgery. The amount of operations with the use of IONM is increasing from one year to another. It has reached the level of 27% in 2019.