{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T20:17:12Z","timestamp":1779913032524,"version":"3.53.1"},"reference-count":47,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2006,10,2]],"date-time":"2006-10-02T00:00:00Z","timestamp":1159747200000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2006,10]]},"abstract":"<jats:title>Keypoints<\/jats:title><jats:p>\u2022\u2002The anatomical course of the external branch of the superior laryngeal nerve (EBSLN) is variable, and a consistent approach to its preservation during thyroid surgery is needed to reduce risk of post\u2010operative voice impairment.<\/jats:p><jats:p>\u2022\u2002Despite agreement that careful dissection in the region of the superior thyroid pole is required, there is no accepted \u2018best\u2019 approach, nor any universal acknowledgement that location of the EBSLN is actually necessary.<\/jats:p><jats:p>\u2022\u2002The popular cernea classification of EBSLN has limitations, including its decreased reliability with increased thyroid size and its irrelevance in cases of \u2018buried\u2019 variants.<\/jats:p><jats:p>\u2022\u2002Recent work has identified factors such as ethnicity and stature in the prevalence of EBSLN variants.<\/jats:p><jats:p>\u2022\u2002Consistent approaches to the post\u2010operative detection of EBSLN injury are needed to build an accurate picture of the incidence of surgical nerve injury. Then a standardised approach to EBSLN preservation may emerge.<\/jats:p>","DOI":"10.1111\/j.1749-4486.2006.01266.x","type":"journal-article","created":{"date-parts":[[2006,10,2]],"date-time":"2006-10-02T08:45:29Z","timestamp":1159778729000},"page":"368-374","source":"Crossref","is-referenced-by-count":58,"title":["Anatomical and surgical considerations of the external branch of the superior laryngeal nerve: a systematic review"],"prefix":"10.1111","volume":"31","author":[{"given":"R.P.","family":"Morton","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Whitfield","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Al\u2010Ali","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2006,10,2]]},"reference":[{"key":"e_1_2_10_2_2","doi-asserted-by":"publisher","DOI":"10.1067\/msy.2002.128483"},{"key":"e_1_2_10_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-6665(03)00175-0"},{"key":"e_1_2_10_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.124.3.301"},{"key":"e_1_2_10_5_2","first-page":"322","article-title":"The Superior laryngeal nerve in relation to thyroid surgery","volume":"66","author":"Hirzel L.F.","year":"1958","journal-title":"Western J. 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