{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T20:58:56Z","timestamp":1767992336494,"version":"3.49.0"},"reference-count":30,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2011,8,22]],"date-time":"2011-08-22T00:00:00Z","timestamp":1313971200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Surgical Oncology"],"published-print":{"date-parts":[[2012,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Voice changes after thyroidectomy are common but not always related to recurrent laryngeal nerve (RLN) injury. We evaluated if RLN neuromonitoring correlated with non\u2010RLN injury\u2010related changes in voice after thyroidectomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Prospective multi\u2010dimensional voice assessment was conducted on patients undergoing thyroidectomy before, 1\u20134 weeks, and 6 months postoperatively. Voice outcome (VO) was determined as normal (NormVO) or negative (NegVO) based upon combinations of patient\u2010reported symptoms, videolaryngoscopy, a composite of acoustic measurements, and clinician\u2010perceived voice quality. Groups with and without neuromonitoring were compared for early and durable differences in VO.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Ninety\u2010one patients underwent thyroidectomy; 39 with RLN neuromonitoring and 52 without. The two study groups were similar with regard to baseline characteristics including voice assessment. There was no difference in NegVO between neuromonitored and non\u2010monitored patients at 1\u20134 weeks (n\u2009=\u200989; 32% vs. 27%; <jats:italic>P<\/jats:italic>\u2009=\u20090.81) and 6 months (n\u2009=\u200971, 14% vs. 7%; <jats:italic>P<\/jats:italic>\u2009=\u20090.42) after thyroidectomy. Neuromonitoring was associated with a 48\u2010min increase in median operative time, but this finding was not statistically significant in a multivariate model.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In this study, recurrent laryngeal neuromonitoring did not appear to influence non\u2010RLN injury related VO as measured by a comprehensive multidimensional voice assessment. J. Surg. Oncol. 2012; 105:4\u20139. \u00a9 2011 Wiley Periodicals, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jso.22063","type":"journal-article","created":{"date-parts":[[2011,8,26]],"date-time":"2011-08-26T00:33:54Z","timestamp":1314318834000},"page":"4-9","source":"Crossref","is-referenced-by-count":29,"title":["The impact of recurrent laryngeal neuromonitoring on multi\u2010dimensional voice outcomes following thyroid surgery"],"prefix":"10.1002","volume":"105","author":[{"given":"Kristin","family":"Stevens","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Stojadinovic","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leah B.","family":"Helou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nancy P.","family":"Solomon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robin S.","family":"Howard","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Craig D.","family":"Shriver","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chester C.","family":"Buckenmaier","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leonard R.","family":"Henry","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2011,8,22]]},"reference":[{"key":"e_1_2_8_2_2","unstructured":"RiesLAG MD KrapchoM MariottoA et al.: editors.SEER Cancer Statistics Review 1975\u20132004 National Cancer Institute. 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