{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T04:29:01Z","timestamp":1782275341429,"version":"3.54.5"},"reference-count":7,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2019,12,19]],"date-time":"2019-12-19T00:00:00Z","timestamp":1576713600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:p>Laryngeal adductor reflex\u2013continuous intraoperative neuromonitoring (LAR\u2010CIONM) is a novel method of continuous intraoperative neuromonitoring. In contrast to other vagal nerve monitoring techniques, which elicit a laryngeal compound muscle action potential, LAR\u2010CIONM elicits a laryngeal reflex response (LAR). In 300 nerves at risk monitored with LAR\u2010CIONM, two patients have had postoperative permanent vocal fold immobility (VFI). Both patients exhibited a significant LAR amplitude increase prior to complete loss of signal. No other patients have exhibited LAR hyperexcitability. If confirmed in a larger sample, this represents the first time that a vagal intraoperative neuromonitoring technique can distinguish transient from permanent VFI, which could improve patient outcomes. <jats:italic>Laryngoscope<\/jats:italic>, 2019 <jats:italic>Laryngoscope<\/jats:italic>, 130:E625\u2013E627, 2020<\/jats:p>","DOI":"10.1002\/lary.28477","type":"journal-article","created":{"date-parts":[[2019,12,19]],"date-time":"2019-12-19T11:17:45Z","timestamp":1576754265000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Laryngeal adductor reflex hyperexcitability may predict permanent vocal fold paralysis"],"prefix":"10.1002","volume":"130","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7129-7372","authenticated-orcid":false,"given":"Catherine F.","family":"Sinclair","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Mount Sinai West Hospital  New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria J.","family":"T\u00e9llez","sequence":"additional","affiliation":[{"name":"Department of Intraoperative Neurophysiology Mount Sinai West Hospital  New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. Angeles","family":"S\u00e1nchez Rold\u00e1n","sequence":"additional","affiliation":[{"name":"Department of Intraoperative Neurophysiology Mount Sinai West Hospital  New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sedat","family":"Ulkatan","sequence":"additional","affiliation":[{"name":"Department of Intraoperative Neurophysiology Mount Sinai West Hospital  New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,12,19]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.27359"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinph.2017.03.002"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.25377"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.24175"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.26894"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jstrokecerebrovasdis.2015.10.025"},{"key":"e_1_2_5_8_1","first-page":"4","article-title":"Acute nerve stretch and the compound motor action potential","volume":"6","author":"Stecker MM","year":"2011","journal-title":"J Brachial Plex Peripher Nerve Inj"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Flary.28477","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.28477","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/lary.28477","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.28477","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,3]],"date-time":"2023-09-03T04:08:30Z","timestamp":1693714110000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.28477"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,12,19]]},"references-count":7,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2020,11]]}},"alternative-id":["10.1002\/lary.28477"],"URL":"https:\/\/doi.org\/10.1002\/lary.28477","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,12,19]]},"assertion":[{"value":"2019-07-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-11-20","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-12-19","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}