PubMed · 10584862
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H Ryu, S Yamamoto. 1999. Microvascular decompression.. https://pubmed.ncbi.nlm.nih.gov/10584862/
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Most forms of facial pain remain neurologic disorders that, although not life threatening, can be debilitating. Modern descriptions of the various forms of facial pain according to their clinical and anatomic patterns did not develop until after the contributions of the early modern neuroanatomists and physiologists in the first quarter of the nineteenth century. These contributions allowed the recognition of relatively distinct painful afflictions of the face, and permitted surgeons in the late nineteenth century to embark confidently on a variety of approaches to cranial and peripheral nerves using decompressive or destructive procedures to alleviate facial pain.
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Changes of the voice caused by injury of the external branch of the superior laryngeal nerve (EBSLN) during thyroid surgery may have essential consequences for a patient's life. Therefore, intraoperative effort has to be made to prevent EBSLN damage. Neuromonitoring has already been described as helpful to improve the identification rate of the recurrent laryngeal nerve. We describe our surgical procedure of upper thyroid pole preparation using neuromonitoring to avoid intraoperative damage of the superior laryngeal nerve. Neuromonitoring allowed safe preparation of the upper thyroid pole without injury of the ESBLN in 108 consecutive patients.