Abstract
Over the past decade, the use of intraoperative neuro monitoring (IONM) in thyroid surgery has been widely accepted by surgeons as a useful technique for improving laryngeal neurological identification and speech results, promoting neurophysiological research, educating and training surgeons. Providing patients with information about IONM is a good practice to promote the efficient use of IONM resources and is essential for effective joint decision making between patients and surgeons. The preoperative plan and patient consent process are important for all patients who undergo thyroid surgery. The purpose of this paper is to summarize general and specific considerations, along with pre-consent criteria for using IONM to support surgeons and patients during prethyroid surgery and shared decision making processes.
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