Localization of the cricothyroid muscle under ultrasound guidance for vagal nerve mapping.

Abstract:

:During surgical removal of tumors of the skull base or cerebellopontine angle with brainstem compression, the vagus nerve is at a high risk for injury that can result in permanent or transient swallowing and speech dysfunction. Intramuscular recording of cricothyroid muscle can be used for vagal nerve mapping during intraoperative neurophysiologic monitoring so as to prevent the above complications. However, it is a small muscle that lies beneath the strap muscles over the anterior neck and is not easily accessible by a blind approach. Here, we present a case in which cricothyroid muscle was identified for precise electrode placement under ultrasound guidance during preparation for intraoperative monitoring. We concluded that localization of the cricothyroid muscle by ultrasonography proved to be a feasible and easy technique, and the compound muscle action potential recorded by this approach is clearly recognizable during intraoperative vagal nerve mapping.

journal_name

J Clin Anesth

authors

Yang TF,Wang JC,Hsu SP,Lee CC,Lin CF,Chiu JW,Lai CJ,Chan RC,Lee SS

doi

10.1016/j.jclinane.2015.01.002

subject

Has Abstract

pub_date

2015-05-01 00:00:00

pages

252-5

issue

3

eissn

0952-8180

issn

1873-4529

pii

S0952-8180(15)00022-7

journal_volume

27

pub_type

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