{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T09:50:10Z","timestamp":1791625810052,"version":"4.3.4"},"reference-count":15,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2026,5,24]],"date-time":"2026-05-24T00:00:00Z","timestamp":1779580800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,5,24]],"date-time":"2026-05-24T00:00:00Z","timestamp":1779580800000},"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;amp; Neck"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Intraoperative neuromonitoring (IONM) is a reliable tool to detect electromyographic loss of signal (LOS). Here, we investigated the effect of electromyography features of traction\u2010related LOS on prognosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Thyroidectomy patients with a traction\u2010related LOS were included. The cases were divided into four groups as follows: Type 1 LOS with no amplitude (0\u2009\u03bcV) (Group 1), Type 1 LOS with low\u2010amplitude (1\u201399\u2009\u03bcV) (Group 2), Type 2 LOS with no amplitude (Group 3), and Type 2 LOS with low\u2010amplitude (Group 4).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 788 patients (1429 nerves) were analyzed. Traction\u2010related LOS was found in 74 patients (9.4%) and 77 nerves (5.4%). Intraoperative recovery was observed in 21 (48.8%) nerves in Group 4, and significantly higher (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.011). Vocal cord paralysis was less in Group 4 (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In traction\u2010related injury, electromyography features may contribute to the decision\u2010making process. Type 2 LOS with low\u2010amplitude is associated with a high likelihood of intraoperative recovery, potentially reducing the need for staged thyroidectomy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hed.70332","type":"journal-article","created":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T03:23:37Z","timestamp":1779679417000},"page":"3135-3141","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effect of Electromyography Findings of Traction\u2010Related Signal Loss on Prognosis During Neuromonitored Thyroidectomy"],"prefix":"10.1002","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8876-0191","authenticated-orcid":false,"given":"Serkan","family":"Karaisli","sequence":"first","affiliation":[{"name":"Department of General Surgery Izmir K\u00e2tip Celebi University Ataturk Training and Research Hospital  Izmir Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5956-8421","authenticated-orcid":false,"given":"Selda","family":"Gucek Haciyanli","sequence":"additional","affiliation":[{"name":"Department of General Surgery Izmir K\u00e2tip Celebi University Ataturk Training and Research Hospital  Izmir Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2749-2220","authenticated-orcid":false,"given":"Emine Ozlem","family":"Gur","sequence":"additional","affiliation":[{"name":"Department of General Surgery Izmir K\u00e2tip Celebi University Ataturk Training and Research Hospital  Izmir Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0512-1405","authenticated-orcid":false,"given":"Mehmet","family":"Haciyanli","sequence":"additional","affiliation":[{"name":"Department of General Surgery Izmir K\u00e2tip Celebi University Ataturk Training and Research Hospital  Izmir Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,24]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-016-3415-3"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-019-05178-6"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.3389\/fendo.2022.888381"},{"issue":"3","key":"e_1_2_13_5_1","article-title":"Current Knowledge on the Use of Neuromonitoring in Thyroid Surgery","volume":"12","author":"Wojtczak B.","year":"2024","journal-title":"Biomedicine"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1308\/rcsann.2019.0087"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.21037\/gs-23-149"},{"issue":"2","key":"e_1_2_13_8_1","first-page":"146","article-title":"Anatomical, Functional, and Dynamic Evidences Obtained by Intraoperative Neuromonitoring Improving the Standards of Thyroidectomy","volume":"55","author":"Aygun N.","year":"2021","journal-title":"\u015ei\u015fli Etfal Hastanesi Tip Bulteni \/ the Medical Bulletin of \u015ei\u015fli Hospital"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.3389\/fendo.2022.923804"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.3389\/fendo.2025.1549988"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.21119"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.27359"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.27327"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13304-025-02373-0"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2024.0698"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2020.08.058"}],"container-title":["Head &amp; Neck"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hed.70332","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/hed.70332","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hed.70332","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T09:18:27Z","timestamp":1791623907000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/hed.70332"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,24]]},"references-count":15,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["10.1002\/hed.70332"],"URL":"https:\/\/doi.org\/10.1002\/hed.70332","archive":["Portico"],"relation":{},"ISSN":["1043-3074","1097-0347"],"issn-type":[{"value":"1043-3074","type":"print"},{"value":"1097-0347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,24]]},"assertion":[{"value":"2026-03-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-18","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-24","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}