{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T23:53:35Z","timestamp":1773273215004,"version":"3.50.1"},"reference-count":39,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2014,5,2]],"date-time":"2014-05-02T00:00:00Z","timestamp":1398988800000},"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":[[2015,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The purpose of this study was to evaluate the contribution of laryngeal intraoperative nerve monitoring (IONM) during thyroidectomy in predicting postoperative laryngeal mobility.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Between 2009 and 2012, 127 patients underwent thyroidectomy, during which 216 recurrent laryngeal nerves were stimulated with suprathreshold stimulations. Laryngeal mobility was examined through direct laryngoscopy. Statistical analysis was performed to determine specificity, sensitivity, negative predictive value (NPV), positive predictive value (PPV), and a threshold value in order to define a intraoperative diagnostic test.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Nine patients had a unilateral laryngeal palsy. No bilateral laryngeal palsy was observed. The threshold value to assure the postoperative laryngeal mobility is 280 \u03bcV. For this value, specificity was 94.06%, sensitivity 100%, NPV 100%, and PPV 47.83%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Laryngeal IONM can predict a favorable outcome of laryngeal mobility in cases in which the response exceeds 280 \u03bcV. Under this value, the risk of palsy is about 50% suggesting a staged surgery. \u00a9 2014 Wiley Periodicals, Inc. <jats:italic>Head Neck<\/jats:italic> 37: 835\u2013839, 2015<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.23676","type":"journal-article","created":{"date-parts":[[2014,3,11]],"date-time":"2014-03-11T09:32:22Z","timestamp":1394530342000},"page":"835-839","source":"Crossref","is-referenced-by-count":17,"title":["Acute prediction of laryngeal outcome during thyroid surgery by electromyographic laryngeal monitoring"],"prefix":"10.1002","volume":"37","author":[{"given":"Yoann","family":"Pavier","sequence":"first","affiliation":[{"name":"Service d'Oto\u2010Rhino\u2010Laryngologie et Chirurgie Cervico\u2010Faciale H\u00f4pital Gabriel Montpied, CHU Clermont\u2010Ferrand France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicolas","family":"Saroul","sequence":"additional","affiliation":[{"name":"Service d'Oto\u2010Rhino\u2010Laryngologie et Chirurgie Cervico\u2010Faciale H\u00f4pital Gabriel Montpied, CHU Clermont\u2010Ferrand France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bruno","family":"Pereira","sequence":"additional","affiliation":[{"name":"D\u00e9l\u00e9gation Recherche Clinique and Innovation, Villa annexe IFSI Hopital Gabriel Montpied, CHU Clermont\u2010Ferrand France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Igor","family":"Tauveron","sequence":"additional","affiliation":[{"name":"D\u00e9l\u00e9gation Recherche Clinique and Innovation, Villa annexe IFSI Hopital Gabriel Montpied, CHU Clermont\u2010Ferrand France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laurent","family":"Gilain","sequence":"additional","affiliation":[{"name":"Service d'Oto\u2010Rhino\u2010Laryngologie et Chirurgie Cervico\u2010Faciale H\u00f4pital Gabriel Montpied, CHU Clermont\u2010Ferrand France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thierry","family":"Mom","sequence":"additional","affiliation":[{"name":"Service Diab\u00e9tologie \u2013 Endocrinologie Hopital Gabriel Montpied, CHU Clermont\u2010Ferrand France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,5,2]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2006.07.017"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.128.4.389"},{"key":"e_1_2_6_4_1","first-page":"137","article-title":"Therapeutic management of postoperatively diagnosed bilateral recurrent laryngeal nerve paralysis [in German]","volume":"125","author":"Friedrich T","year":"2000","journal-title":"Zentralbl Chir"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-003-6903-1"},{"key":"e_1_2_6_6_1","first-page":"63","article-title":"Electrical stimulation of the human recurrent laryngeal nerve during thyroid operation","volume":"263","author":"Flisberg K","year":"1969","journal-title":"Acta Otolaryngol Suppl"},{"key":"e_1_2_6_7_1","first-page":"29","article-title":"Intraoperative neuro\u2010monitoring of the recurrent laryngeal nerve. 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