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This study investigated dynamic recurrent laryngeal nerve (RLN) electromyographic (EMG) data to define safety parameters for using FM devices in thyroidectomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Real\u2010time EMG tracings obtained under continuous neuromonitoring were recorded from 24 RLNs (12 piglets). In the activation study, FM devices were activated at varying distances from the RLN. In the cooling study, FM devices were cooled for varying time intervals, or muscle touch maneuver was performed, before contact with the RLN.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>During the FMwand\/FMsealer activation, no adverse EMG events occurred at distances of 2\u2009mm or longer. The cooling study revealed no adverse EMG events after 1\u2010second (FMwand) or 3\u2010second (FMsealer) intervals or after muscle touch maneuver.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>An FM device should be activated at a distance of 2\u2009mm from the RLN and should be adequately cooled before further contact with the RLN. Surgeons can avoid RLN injury by observing standard procedures for using FM devices.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.26334","type":"journal-article","created":{"date-parts":[[2020,6,22]],"date-time":"2020-06-22T10:49:11Z","timestamp":1592822951000},"page":"2931-2940","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Safety parameters of ferromagnetic device during thyroid surgery: Porcine model using continuous neuromonitoring"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5044-0325","authenticated-orcid":false,"given":"Tzu\u2010Yen","family":"Huang","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Kaohsiung Medical University Hospital, Kaohsiung Medical University  Kaohsiung Taiwan"},{"name":"Department of Biological Science and Technology National Chiao Tung University  Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9626-534X","authenticated-orcid":false,"given":"Yi\u2010Chu","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Kaohsiung Medical University Hospital, Kaohsiung Medical University  Kaohsiung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4066-9465","authenticated-orcid":false,"given":"Hsin\u2010Yi","family":"Tseng","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Kaohsiung Medical University Hospital, Kaohsiung Medical University  Kaohsiung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0864-6087","authenticated-orcid":false,"given":"Gianlorenzo","family":"Dionigi","sequence":"additional","affiliation":[{"name":"Division for Endocrine and Minimally Invasive Surgery, Department of Human Pathology in Adulthood and Childhood \u201cGaetano Barresi\u201d University Hospital G. Martino, University of Messina  Messina Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6731-3912","authenticated-orcid":false,"given":"Hoon Yub","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Surgery, KUMC Thyroid Center Korea University College of Medicine  Seoul South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8830-3433","authenticated-orcid":false,"given":"Young Jun","family":"Chai","sequence":"additional","affiliation":[{"name":"Department of Surgery Seoul Metropolitan Government\u2010Seoul National University Boramae Medical Center  Seoul South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6643-1071","authenticated-orcid":false,"given":"I\u2010Cheng","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Kaohsiung Municipal Siaogang Hospital, Kaohsiung Medical University Hospital, Faculty of Medicine College of Medicine, Kaohsiung Medical University  Kaohsiung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8068-1085","authenticated-orcid":false,"given":"Pi\u2010Ying","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Kaohsiung Municipal Siaogang Hospital, Kaohsiung Medical University Hospital, Faculty of Medicine College of Medicine, Kaohsiung Medical University  Kaohsiung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0487-228X","authenticated-orcid":false,"given":"Feng\u2010Yu","family":"Chiang","sequence":"additional","affiliation":[{"name":"School of Medicine College of Medicine, I\u2010Shou University  Kaohsiung Taiwan"},{"name":"Department of Otolaryngology E\u2010Da Hospital  Kaohsiung 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