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Permanent\n                    <jats:styled-content style=\"fixed-case\">RLNP<\/jats:styled-content>\n                    occurs in 0.3\u20133% of cases, with transient palsies in 5\u20138%. A literature review and analysis of recent data regarding\n                    <jats:styled-content style=\"fixed-case\">RLNP<\/jats:styled-content>\n                    in thyroid surgery was performed, with particular focus on the identification of high\u2010risk patients, the role of intraoperative identification and dissection of the nerve, and the role of intraoperative neuromonitoring (\n                    <jats:styled-content style=\"fixed-case\">IONM<\/jats:styled-content>\n                    ) and optimal perioperative nerve assessment. In conjunction with the review, data from the\n                    <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>\n                    onash\n                    <jats:styled-content style=\"fixed-case\">U<\/jats:styled-content>\n                    niversity\/\n                    <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>\n                    lfred\n                    <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>\n                    ospital\n                    <jats:styled-content style=\"fixed-case\">E<\/jats:styled-content>\n                    ndocrine\n                    <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>\n                    urgery\n                    <jats:styled-content style=\"fixed-case\">U<\/jats:styled-content>\n                    nit between\n                    <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>\n                    anuary 2007 and\n                    <jats:styled-content style=\"fixed-case\">O<\/jats:styled-content>\n                    ctober 2011 were retrospectively analysed, including 3736 consecutive nerves at risk (\n                    <jats:styled-content style=\"fixed-case\">NAR<\/jats:styled-content>\n                    ). The current literature and our data confirm that patients undergoing re\u2010operative thyroid surgery and thyroid surgery for malignancies are at increased risk of\n                    <jats:styled-content style=\"fixed-case\">RLNP<\/jats:styled-content>\n                    . Intraoperative visualization and capsular dissection of the\n                    <jats:styled-content style=\"fixed-case\">RLN<\/jats:styled-content>\n                    remain the gold standard for intraoperative care during thyroid surgery for reducing\n                    <jats:styled-content style=\"fixed-case\">RLNP<\/jats:styled-content>\n                    risk.\n                    <jats:styled-content style=\"fixed-case\">IONM<\/jats:styled-content>\n                    should not be used as the sole mechanism for identifying and preserving the nerve, although it can be used to aid in the identification and dissection of the nerve, and may aid in nerve protection in high\u2010risk cases including cancer surgery and re\u2010operative surgery.\n                  <\/jats:p>","DOI":"10.1111\/j.1445-2197.2012.06247.x","type":"journal-article","created":{"date-parts":[[2012,9,18]],"date-time":"2012-09-18T06:45:31Z","timestamp":1347950731000},"page":"15-21","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":200,"title":["Recurrent laryngeal nerve injury in thyroid surgery: a review"],"prefix":"10.1111","volume":"83","author":[{"given":"Nathan James","family":"Hayward","sequence":"first","affiliation":[{"name":"Department of Breast, Endocrine and General Surgery The Alfred  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Grodski","sequence":"additional","affiliation":[{"name":"Department of Breast, Endocrine and General Surgery The Alfred  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meei","family":"Yeung","sequence":"additional","affiliation":[{"name":"Department of Breast, Endocrine and General Surgery The Alfred  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William R.","family":"Johnson","sequence":"additional","affiliation":[{"name":"Department of Breast, Endocrine and General Surgery The Alfred  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Serpell","sequence":"additional","affiliation":[{"name":"Department of Breast, Endocrine and General Surgery The Alfred  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,9,18]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.2007.01383.x"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-1241.2008.01875.x"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s004050100370"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-009-0316-8"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1445-2197.2003.02756.x"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-005-0355-8"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.135.2.204"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e31819ed9a4"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200201000-00022"},{"key":"e_1_2_7_11_1","first-page":"190","article-title":"Surgical treatment of multinodular goiter: incidence of lesions of the recurrent nerves after total thyroidectomy","volume":"85","author":"Bononi M","year":"2000","journal-title":"Int. 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