{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T21:48:18Z","timestamp":1790804898982,"version":"4.1.0"},"reference-count":21,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2012,3,20]],"date-time":"2012-03-20T00:00:00Z","timestamp":1332201600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2012,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Few investigations have addressed malpractice litigation after thyroid surgery. The purpose of this medico\u2010legal review was to provide a more comprehensive picture of medico\u2010legal trends in thyroid surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Reviewed were all expert opinions on claims of malpractice after thyroid surgery, commissioned between 1995 and 2010 at 1 tertiary center, and their corresponding verdicts.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Forty\u2010three of 75 malpractice claims involved recurrent laryngeal nerve (RLN) palsy (21 unilateral and 22 bilateral palsies), with a 45% tracheostomy rate for bilateral RLN palsy. Twenty\u2010one claims concerned permanent hypoparathyroidism. Since 2007, intraoperative nerve monitoring (IONM) has become the subject of pleading in 4 of 7 malpractice claims involving unilateral or bilateral RLN palsy. In none of these cases did IONM follow international standards, resulting in 3 plaintiff verdicts.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The growing appreciation that standardized IONM can prevent bilateral RLN palsies after signal loss on the initial side of resection may become increasingly relevant to malpractice litigation. \u00a9 2012 Wiley Periodicals, Inc. Head Neck, 2012<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.21970","type":"journal-article","created":{"date-parts":[[2012,3,20]],"date-time":"2012-03-20T06:39:15Z","timestamp":1332225555000},"page":"1591-1596","source":"Crossref","is-referenced-by-count":97,"title":["Verdicts on malpractice claims after thyroid surgery: Emerging trends and future directions"],"prefix":"10.1002","volume":"34","author":[{"given":"Henning","family":"Dralle","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kerstin","family":"Lorenz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Machens","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,3,20]]},"reference":[{"key":"e_1_2_5_2_2","unstructured":"2004 Schattauer Stuttgart B Gerste J Klauber BP Robra H Schellschmidt Operationsh\u00e4ufigkeit in deutschen Krankenh\u00e4usern 1998 bis 2001. Krankenhausreport 2003 373 409"},{"key":"e_1_2_5_3_2","unstructured":"2009 Schattauer Stuttgart J Spindler J Klauber BP Robra H Schellschmidt Fallpauschalenbezogene Krankenhausstatistik. Diagnosen und Prozeduren der Patienten auf Basis des \u00a7 21 Krankenhausentgeltgesetz. Krankenhausreport 2008\/2009 309 335"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2010.07.019"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199809000-00005"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2004.07.018"},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s001040050875"},{"key":"e_1_2_5_8_2","first-page":"1167","article-title":"Medicolegal analysis of errors in diagnosis and treatment of surgical endocrine disease","volume":"114","author":"Kern AK","year":"1993","journal-title":"Surgery"},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/hed.10254"},{"key":"e_1_2_5_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/000348940911800102"},{"key":"e_1_2_5_11_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199102073240605"},{"key":"e_1_2_5_12_2","first-page":"316","volume-title":"The prediction of postoperative vocal cord function","author":"Randolph GW","year":"2003"},{"key":"e_1_2_5_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-008-9483-2"},{"key":"e_1_2_5_14_2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.21119"},{"key":"e_1_2_5_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3182128b9e"},{"key":"e_1_2_5_16_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.6417"},{"key":"e_1_2_5_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00423-003-0444-9"},{"key":"e_1_2_5_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-009-0353-3"},{"key":"e_1_2_5_19_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00423-011-0774-y"},{"key":"e_1_2_5_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-004-7348-x"},{"key":"e_1_2_5_21_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.2004.00933.x"},{"key":"e_1_2_5_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2007.02.011"}],"container-title":["Head &amp; Neck"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fhed.21970","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hed.21970","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,21]],"date-time":"2023-11-21T15:25:27Z","timestamp":1700580327000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/hed.21970"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,3,20]]},"references-count":21,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2012,11]]}},"alternative-id":["10.1002\/hed.21970"],"URL":"https:\/\/doi.org\/10.1002\/hed.21970","archive":["Portico"],"relation":{},"ISSN":["1043-3074","1097-0347"],"issn-type":[{"value":"1043-3074","type":"print"},{"value":"1097-0347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,3,20]]}}}