{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,12]],"date-time":"2025-09-12T17:49:32Z","timestamp":1757699372865},"reference-count":31,"publisher":"Wiley","issue":"S1","license":[{"start":{"date-parts":[[2015,9,8]],"date-time":"2015-09-08T00:00:00Z","timestamp":1441670400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"The John and Claire Bertucci Thyroid Research fund supported the research for this study."}],"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) injury is a known complication of thyroid\/parathyroid surgery. Intraoperative nerve monitoring (IONM) has been used to gain more information regarding the functional status of the RLN intraoperatively; however, the electromyography (EMG) parameters of RLN after nontransection neuropraxic compressive injury remain unknown.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We developed a canine model to identify IONM EMG correlates of postoperative vocal cord paralysis (VCP) using a standardized method to simulate surgical RLN compression sufficient to cause VCP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Compression nerve injury decreased EMG amplitude and increased EMG latency, with a 60% increase in RLN threshold stimulation compared to preinjury values. If RLN amplitude decreases by 80% with an absolute amplitude of 300 \u03bcV or less in combination with a latency increase of 10% or more, then nerve injury and associated VCP is likely.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>These results may help surgeons to prognosticate postoperative neural function and intraoperative decision\u2010making regarding contralateral thyroid surgery. \u00a9 2015 Wiley Periodicals, Inc. <jats:italic>Head Neck<\/jats:italic> <jats:bold>38<\/jats:bold>: E1341\u2013E1350, 2016<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.24225","type":"journal-article","created":{"date-parts":[[2015,9,8]],"date-time":"2015-09-08T15:44:35Z","timestamp":1441727075000},"source":"Crossref","is-referenced-by-count":14,"title":["Vocal cord paralysis predicted by neural monitoring electrophysiologic changes with recurrent laryngeal nerve compressive neuropraxic injury in a canine model"],"prefix":"10.1002","volume":"38","author":[{"given":"Sidharth V.","family":"Puram","sequence":"first","affiliation":[{"name":"Division of Thyroid and Parathyroid Surgery, Department of Otolaryngology Massachusetts Eye and Ear Infirmary and Harvard Medical School Boston Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harold","family":"Chow","sequence":"additional","affiliation":[{"name":"Division of Thyroid and Parathyroid Surgery, Department of Otolaryngology Massachusetts Eye and Ear Infirmary and Harvard Medical School Boston Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Che\u2010Wei","family":"Wu","sequence":"additional","affiliation":[{"name":"Division of Thyroid and Parathyroid Surgery, Department of Otolaryngology Massachusetts Eye and Ear Infirmary and Harvard Medical School Boston Massachusetts"},{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery, Kaohsiung Medical University Hospital, Faculty of Medicine, College of Medicine Kaohsiung Medical University Kaohsiung Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James T.","family":"Heaton","sequence":"additional","affiliation":[{"name":"Department of Surgery Massachusetts General Hospital and Harvard Medical School Boston Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dipti","family":"Kamani","sequence":"additional","affiliation":[{"name":"Division of Thyroid and Parathyroid Surgery, Department of Otolaryngology Massachusetts Eye and Ear Infirmary and Harvard Medical School Boston Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gautham","family":"Gorti","sequence":"additional","affiliation":[{"name":"Division of Thyroid and Parathyroid Surgery, Department of Otolaryngology Massachusetts Eye and Ear Infirmary and Harvard Medical School Boston Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Feng Yu","family":"Chiang","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery, Kaohsiung Medical University Hospital, Faculty of Medicine, College of Medicine Kaohsiung Medical University Kaohsiung Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gianlorenzo","family":"Dionigi","sequence":"additional","affiliation":[{"name":"Department of Surgical Sciences and Human Morphology, Division of Surgery University of Insubria \u2013 School of Medicine Varese Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcin","family":"Barczy\u0144ski","sequence":"additional","affiliation":[{"name":"Department of Endocrine Surgery Jagiellonian University Medical College Krakow Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rick","family":"Schneider","sequence":"additional","affiliation":[{"name":"Department of General, Visceral, and Vascular Surgery Martin Luther University 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