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The aim is to review intraoperative neuromonitoring (IONM) techniques during thyroid surgery to reduce nerve injury risks.

Intraoperative neurophysiological monitoring of the recurrent laryngeal nerve and the external branch of the superior laryngeal nerve during thyroid surgery

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The aim is to review intraoperative neuromonitoring (IONM) techniques during thyroid surgery to reduce nerve injury risks.
Comprehensive review of IONM principles and methodologies in thyroidectomy.
Highlighting standardized protocols for preserving RLN and EBSLN.
Examining recent technological advancements in monitoring.
IONM significantly improves the identification of anatomical variations of nerves.
Use of innovative monitoring technologies enhances nerve preservation rates.
Despite benefits, challenges related to implementation and accessibility remain.

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Randomized trial demonstrates improved surgical outcomes in thyroidectomy through intraoperative monitoring.

Da-Sol Kim (2025) studied this question.

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