{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T07:55:00Z","timestamp":1791446100543,"version":"4.3.3"},"reference-count":21,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"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"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Management of recurrent laryngeal nerve (RLN) invasion by thyroid cancer remains controversial between shaving the tumor and resecting it. We compared oncological and functional outcomes of the two techniques.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Following PRISMA guidelines, three reviewers searched seven databases for studies from 1995 to 2024 comparing shaving and resection of the RLN. Outcomes explored were overall survival, recurrence, preservation of vocal cord function, maximum phonation time, and other treatment\u2010related morbidities if provided.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 13 retrospective cohorts (532 patients) met inclusion criteria. Overall survival and tracheotomy requirements did not differ between groups. Shaving was associated with lower recurrence (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.007), better vocal fold mobility (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.0001), and longer maximum phonation time (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.04).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This analysis showed that shaving was associated with better functional outcomes and lower recurrence than resection, without a survival difference. Because shaved patients had less advanced disease, these associations may reflect selection bias; prospective studies are needed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hed.70509","type":"journal-article","created":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T07:32:11Z","timestamp":1791444731000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Shaving Versus Resection on Recurrent Laryngeal Nerve in Thyroid Cancer Surgeries: A Systematic Review and Meta\u2010Analysis"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-8980-8002","authenticated-orcid":false,"given":"Eric","family":"Tran","sequence":"first","affiliation":[{"name":"Texas Tech University Health Sciences Center \u2013 School of Medicine  Lubbock Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-7563-9677","authenticated-orcid":false,"given":"Jordan","family":"Kankam","sequence":"additional","affiliation":[{"name":"Texas Tech University Health Sciences Center \u2013 School of Medicine  Lubbock Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-4131-2644","authenticated-orcid":false,"given":"Liana","family":"Salehian","sequence":"additional","affiliation":[{"name":"Texas Tech University Health Sciences Center \u2013 School of Medicine  Lubbock Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3902-307X","authenticated-orcid":false,"given":"Harry","family":"May","sequence":"additional","affiliation":[{"name":"Texas Tech University Health Sciences Center \u2013 School of Medicine  Lubbock Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8719-4041","authenticated-orcid":false,"given":"Daniel","family":"Stuart","sequence":"additional","affiliation":[{"name":"Texas Tech University Health Sciences Center \u2013 School of Medicine  Lubbock Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2975-2682","authenticated-orcid":false,"given":"Yusuf","family":"Dundar","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology and Head &amp; Neck Reconstructive Surgery Texas Tech University Health Sciences Center  Lubbock Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,8]]},"reference":[{"key":"e_1_2_13_2_1","volume-title":"StatPearls","author":"Lee K.","year":"2026"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00276\u2010022\u201003054\u2010y"},{"issue":"12","key":"e_1_2_13_4_1","doi-asserted-by":"crossref","first-page":"1536","DOI":"10.1007\/s10147-019-01496-w","article-title":"Phonatory Function in Patients With Well\u2010Differentiated Thyroid Carcinoma Following Meticulous Resection of Tumors Adhering to the Recurrent Laryngeal Nerve","volume":"24","author":"Miyamaru S.","year":"2019","journal-title":"International Journal of Clinical Oncology"},{"issue":"9","key":"e_1_2_13_5_1","doi-asserted-by":"crossref","first-page":"2129","DOI":"10.3390\/cancers13092129","article-title":"Optimal Management of the Unilateral Recurrent Laryngeal Nerve Involvement in Patients With Thyroid Cancer","volume":"13","author":"Miyamaru S.","year":"2021","journal-title":"Cancers"},{"issue":"1","key":"e_1_2_13_6_1","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1007\/s00423-024-03323-x","article-title":"New Strategy for Intraoperative Phonosurgical Management of Recurrent Laryngeal Nerve Infiltrated by Thyroid Carcinoma","volume":"409","author":"Peng J.","year":"2024","journal-title":"Langenbeck's Archives of Surgery"},{"issue":"1","key":"e_1_2_13_7_1","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1016\/j.surg.2011.12.033","article-title":"Laryngeal Approach to the Recurrent Laryngeal Nerve Involved by Thyroid Cancer at the Ligament of Berry","volume":"152","author":"Miyauchi A.","year":"2012","journal-title":"Surgery"},{"issue":"4","key":"e_1_2_13_8_1","doi-asserted-by":"crossref","first-page":"969","DOI":"10.1007\/s00268-014-2906-3","article-title":"Papillary Thyroid Carcinoma With Exclusive Involvement of a Functioning Recurrent Laryngeal Nerve May Be Treated With Shaving Technique","volume":"39","author":"Lee H. 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H.","year":"2013","journal-title":"Annals of Surgical Oncology"},{"issue":"3","key":"e_1_2_13_10_1","first-page":"330","article-title":"Predictive Factors and Risk Analysis of Recurrent Laryngeal Nerve Invasion in Papillary Thyroid Carcinoma <\u20091 Cm","volume":"67","author":"Yang F.","year":"2023","journal-title":"Archives of Endocrinology and Metabolism"},{"issue":"1","key":"e_1_2_13_11_1","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1016\/j.surg.2013.06.052","article-title":"Outcome of Vocal Cord Function After Partial Layer Resection of the Recurrent Laryngeal Nerve in Patients With Invasive Papillary Thyroid Cancer","volume":"155","author":"Kihara M.","year":"2014","journal-title":"Surgery"},{"issue":"1","key":"e_1_2_13_12_1","doi-asserted-by":"crossref","first-page":"6707","DOI":"10.1038\/s41598-021-86226-x","article-title":"Clinical Outcomes of T4a Papillary Thyroid Cancer With Recurrent Laryngeal Nerve Involvement: A Retrospective Analysis","volume":"11","author":"Na H. 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