{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T23:15:31Z","timestamp":1791587731726,"version":"4.3.4"},"reference-count":47,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Thyroid\u00ae"],"published-print":{"date-parts":[[2025,11,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Radiofrequency and other ablative treatments for thyroid nodules and thyroid malignancies are increasingly being adopted into clinical practice. The safety of these procedures with respect to the recurrent laryngeal nerve (RLN) is not well-characterized.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Summary:<\/jats:title>\n                    <jats:p>Our current understanding of RLN injury with thermal ablation procedures is nascent. Review of surgical literature and practices offers a framework for voice and laryngeal evaluation and reveals important features of RLN injury. At present, current strategies to mitigate and manage RLN injury in thyroid ablation procedures are offered by physicians of varying specialties and are empirical. An in-depth understanding of lessons learned from surgical management of the thyroid and RLN should optimize the safety of thermal ablation procedures. Critically examining commonly recommended ablation techniques through a surgical framework may provide practical insights that can be used to minimize the risk of RLN injury.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Further work is needed to characterize the risk of thermal injury to the RLN in ablation procedures. Research should address the safety and efficacy of hydrodissection and cold irrigation techniques.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10507256251390376","type":"journal-article","created":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T11:04:47Z","timestamp":1762167887000},"page":"1221-1229","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Scholarly Dialogue on Risk to the Recurrent Laryngeal Nerve with Thermal Ablation Procedures: A Reflection on Empirical Practices"],"prefix":"10.1177","volume":"35","author":[{"given":"Marika","family":"Russell","sequence":"first","affiliation":[{"name":"Division of Thyroid and Parathyroid Endocrine Surgery, Department of Otolaryngology-Head and Neck Surgery, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Che-Wei","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology-Head and Neck Surgery, Kaohsiung Medical University Hospital, School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tzu-Yen","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology-Head and Neck Surgery, Kaohsiung Medical University Hospital, School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. Michael","family":"Tuttle","sequence":"additional","affiliation":[{"name":"Endocrinology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter A.","family":"Kopp","sequence":"additional","affiliation":[{"name":"Division of Endocrinology, Diabetology and Metabolism, University Hospital of Lausanne and University of Lausanne, Lausanne, Switzerland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jung Hwan","family":"Baek","sequence":"additional","affiliation":[{"name":"Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa A.","family":"Orloff","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, Stanford University, Stanford, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Noel","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, Stanford University, Stanford, California, USA."},{"name":"Division of Otolaryngology Head &amp; Neck Surgery, Santa Clara Valley Medical Center, Stanford, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Scharpf","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Institute, Cleveland Clinic, Cleveland, Ohio, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Angelos","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Chicago Medicine, Chicago, Illinois, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyung","family":"Tae","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Hanyang University, Seoul, Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeong Seon","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Radiology, College of Medicine, Hanyang University, Seoul, Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Cottrill","sequence":"additional","affiliation":[{"name":"Thomas Jefferson University Hospital, Sidney Kimmel Medical College, Philadelphia, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victoria","family":"Banuchi","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery, MD Anderson, Houston, Texas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"MaryBeth","family":"Cunnane","sequence":"additional","affiliation":[{"name":"Department of Radiology, Massachusetts Eye and Ear, Harvard Medical School, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maurilio","family":"Deandrea","sequence":"additional","affiliation":[{"name":"Endocrinology, Diabetes, and Metabolism Department and Centre for Thyroid Diseases, AO Mauriziano Hospital, Turin, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Whitney","family":"Liddy","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, Northwestern University, Chicago, Illinois, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neil","family":"Tolley","sequence":"additional","affiliation":[{"name":"Department Endocrine and Thyroid Surgery, Hammersmith Hospital, Imperial College NHS Healthcare Trust, London, United Kingdom."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erivelto M.","family":"Volpi","sequence":"additional","affiliation":[{"name":"Oncology Center, Oswaldo Cruz German Hospital, S\u00e3o Paulo, 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