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This video demonstrates blade-based recurrent laryngeal nerve (RLN) shaving during transoral robotic thyroidectomy in four patients with papillary thyroid carcinoma and tumor adherence to a functioning RLN. Controlled sharp dissection along the tumor-nerve interface enabled anatomical nerve preservation in all four cases, with normal vocal fold mobility at 3 months.
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Oh et al. (2026) studied this question.
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