{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T17:25:13Z","timestamp":1793381113451,"version":"4.5.0"},"reference-count":35,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T00:00:00Z","timestamp":1765497600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T00:00:00Z","timestamp":1765497600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The primary aim of this study was to characterize the prevalence of external branch of the superior laryngeal nerve (EBSLN) injury with and without the use of intraoperative neuromonitoring (IONM) and identify factors associated with injury.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients referred to our clinic for thyroidectomy between June 2015 and June 2016 were prospectively randomized into two groups (single\u2010blinded): in Group 1, IONM was used during upper pole dissection only for the management of the recurrent laryngeal nerve (RLN); in Group 2, IONM was used for both RLN and EBSLN management. After thyroidectomy completion in all patients, cricothyroid muscle (CTM) EMG was performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      EBSLN injury was significantly higher in Group 1 (15.4 vs. 2.1% of NAR,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). EBSLN injury was detected in 23 (9.4%) of 245 Friedman type 1, in 7 (18.9%) of 37 Friedman type 2, and in 3 (3.2%) of 94 Friedman type 3 nerves.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>EBSLN injury is often a transection injury associated with permanent EBSLN dysfunction. Use of IONM facilitates the prevention of EBSLN injury.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hed.70128","type":"journal-article","created":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T01:05:29Z","timestamp":1765587929000},"page":"1250-1258","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Intraoperat\u0131ve Nerve Mon\u0131tor\u0131ng Dur\u0131ng Thyro\u0131dectomy Can Reduce the Injury to the External Branch of the Super\u0131or Laryngeal Nerve Dur\u0131ng Super\u0131or Thyro\u0131d Pole D\u0131ssect\u0131on: A Prospective Randomized Study"],"prefix":"10.1002","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7353-8245","authenticated-orcid":false,"given":"Nurcihan","family":"Aygun","sequence":"first","affiliation":[{"name":"Department of General Surgery, Division of Endocrine Surgery University of Health Sciences, Sisli Hamidiye Etfal Training and Research Hospital  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5436-3649","authenticated-orcid":false,"given":"Marika D.","family":"Russell","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery, Division of Thyroid and Parathyroid Endocrine Surgery Massachusetts Eye and Ear Infirmary, Harvard Medical School  Boston USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kinyas","family":"Kartal","sequence":"additional","affiliation":[{"name":"Department of General Surgery Yeditepe University Kozyatag\u0131 Hospital  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adnan","family":"Isgor","sequence":"additional","affiliation":[{"name":"Department of General Surgery Sisli Memorial Hospital  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory W.","family":"Randolph","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery, Division of Thyroid and Parathyroid Endocrine Surgery Massachusetts Eye and Ear Infirmary, Harvard Medical School  Boston USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehmet","family":"Uludag","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Division of Endocrine Surgery University of Health Sciences, Sisli Hamidiye Etfal Training and Research Hospital  Istanbul 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