{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T04:12:13Z","timestamp":1790136733738,"version":"4.0.1"},"reference-count":20,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2015,6,20]],"date-time":"2015-06-20T00:00:00Z","timestamp":1434758400000},"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":[[2016,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Recurrent laryngeal nerve (RLN) palsy is the most serious complication after thyroidectomy. However, little is known about the degree of traction injury that causes loss of signal. The purpose of this study was to evaluate traction injuries in the swine RLN using continuous intraoperative neuromonitoring (IONM) and determine the traction power that results in loss of signal.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Thirteen swine underwent traction injury to the RLNs with continuous IONM, and stress\u2010strain curves were determined for 8 nerves using the universal material testing machine in an ex vivo model.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Traction injury at a mean power of 2.83 MPa caused loss of signal. The mean physiologic limit strain and tensile strength of the swine RLNs were found to be 15.0% and 4.9 MPa, respectively. Histological analysis showed no abnormal structural findings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Traction injury of swine RLNs causes loss of signal at a power of 2.83 MPa. However, all injured nerves recovered within 7 days with no observed structural damage. \u00a9 2015 Wiley Periodicals, Inc. <jats:italic>Head Neck<\/jats:italic> 38: 582\u2013588, 2016<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.23934","type":"journal-article","created":{"date-parts":[[2014,12,9]],"date-time":"2014-12-09T15:53:29Z","timestamp":1418140409000},"page":"582-588","source":"Crossref","is-referenced-by-count":28,"title":["Traction injury of the recurrent laryngeal nerve: Results of continuous intraoperative neuromonitoring in a swine model"],"prefix":"10.1002","volume":"38","author":[{"given":"Hye Yoon","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Surgery Korea University Anam Hospital, Korea University College of Medicine  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Young Geon","family":"Cho","sequence":"additional","affiliation":[{"name":"Advanced Materials Characterization Laboratory at School of Mechanical Engineering Korea University  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ji Young","family":"You","sequence":"additional","affiliation":[{"name":"Department of Surgery Korea University Anam Hospital, Korea University College of Medicine  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Byoung Ho","family":"Choi","sequence":"additional","affiliation":[{"name":"Advanced Materials Characterization Laboratory at School of Mechanical Engineering Korea University  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joon Yub","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Myongji Hospital  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Che\u2010Wei","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery Kaohsiung Medical University Hospital, Kaohsiung Medical University  Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Feng\u2010Yu","family":"Chiang","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery Kaohsiung Medical University Hospital, Kaohsiung Medical University  Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hoon Yub","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Surgery Korea University Anam Hospital, Korea University College of Medicine  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,6,20]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0892-1997(98)80042-8"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-008-9483-2"},{"key":"e_1_2_5_4_1","first-page":"300","volume-title":"Surgery of the thyroid and parathyroid glands","author":"Randolph GW","year":"2003"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2004.07.018"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2004.09.008"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2008.02.006"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2007.07.017"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-009-0316-8"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-012-2239-y"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.23187"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2005.08.027"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.21119"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2013.08.015"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/13645700701383241"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2007.10.007"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00423-009-0503-y"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.52B2.354"},{"key":"e_1_2_5_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-012-1853-0"},{"key":"e_1_2_5_20_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.135.2.204"},{"key":"e_1_2_5_21_1","unstructured":"CoghillAM GarsonLR American Chemical Society.The ACS style guide: effective communication of scientific information. 3rd ed. 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