{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,3]],"date-time":"2025-12-03T18:13:36Z","timestamp":1764785616471,"version":"build-2065373602"},"reference-count":27,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2025,4,10]],"date-time":"2025-04-10T00:00:00Z","timestamp":1744243200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: The application of intermittent intraoperative neuromonitoring (I-IONM) and continuous intraoperative neuromonitoring (C-IONM) has been widely accepted to improve surgical outcomes after thyroid surgery. This observational study aimed to evaluate the impact of vocal cord paralysis (VCP) in thyroid surgery conducted with I-IONM and C-IONM. Materials and Methods: From January 2018 to December 2022, 147 patients operated on with I-IONM and C-IONM for thyroid surgery were analyzed. Variations in the rates of the occurrence of temporary and permanent vocal cord paralysis between the two groups were compared. A p-value &lt; 0.05 was considered statistically significant. Results: In total, 147 patients were eligible for inclusion in the study. Of these, 96 (65%) patients underwent thyroid surgery with I-IONM, 52 patients (35%) underwent surgery with C-IONM by a single surgeon. The percentage of temporary VCP was 4.1% (4 patients) in the I-IONM group; no patients had permanent VCP. In the C-IONM group, two patients (3.9%) had permanent vocal cord paralysis, and temporary vocal cord paralysis was observed in other two patients (3.9%), who recovered their nerve function after speech therapy. No statistically significant differences were found in the two groups. Conclusions: In our study, both I-IONM and C-IONM proved effective in predicting VCP, and no significant differences were observed between the two techniques in our series.<\/jats:p>","DOI":"10.3390\/jcm14082612","type":"journal-article","created":{"date-parts":[[2025,4,10]],"date-time":"2025-04-10T11:26:41Z","timestamp":1744284401000},"page":"2612","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["The Application of Intermittent Intraoperative Neuromonitoring (I-IONM) and Continuous Intraoperative Neuromonitoring (C-IONM) During Thyroid Surgery: A Single-Center Study"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1889-2644","authenticated-orcid":false,"given":"Bruno","family":"Cirillo","sequence":"first","affiliation":[{"name":"Department of Surgery, Sapienza University of Rome, 00161 Rome, Italy"},{"name":"Department of Emergency Surgery, Policlinico Umberto I, 00161 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gioia","family":"Brachini","sequence":"additional","affiliation":[{"name":"Department of Surgery, Sapienza University of Rome, 00161 Rome, Italy"},{"name":"Department of Emergency Surgery, Policlinico Umberto I, 00161 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7121-2295","authenticated-orcid":false,"given":"Giuseppe","family":"Cavallaro","sequence":"additional","affiliation":[{"name":"Department of Surgery, Sapienza University of Rome, 00161 Rome, Italy"},{"name":"Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome, 00185 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3783-4749","authenticated-orcid":false,"given":"Mariarita","family":"Tarallo","sequence":"additional","affiliation":[{"name":"Department of Surgery, Sapienza University of Rome, 00161 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cecilia","family":"Carlino","sequence":"additional","affiliation":[{"name":"Department of Surgery, Sapienza University of Rome, 00161 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giulia","family":"Duranti","sequence":"additional","affiliation":[{"name":"Department of Surgery, Sapienza University of Rome, 00161 Rome, Italy"},{"name":"Department of Emergency Surgery, Policlinico Umberto I, 00161 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martina","family":"Zambon","sequence":"additional","affiliation":[{"name":"Department of Surgery, Sapienza University of Rome, 00161 Rome, Italy"},{"name":"Department of Emergency Surgery, Policlinico Umberto I, 00161 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5437-9085","authenticated-orcid":false,"given":"Andrea","family":"Mingoli","sequence":"additional","affiliation":[{"name":"Department of Surgery, Sapienza University of Rome, 00161 Rome, Italy"},{"name":"Department of Emergency Surgery, Policlinico Umberto I, 00161 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luigi","family":"Simonelli","sequence":"additional","affiliation":[{"name":"Department of Surgery, Sapienza University of Rome, 00161 Rome, Italy"},{"name":"Department of Emergency Surgery, Policlinico Umberto I, 00161 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4944-0368","authenticated-orcid":false,"given":"Marco","family":"Bononi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Sapienza University of Rome, 00161 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,4,10]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"SS105","DOI":"10.29271\/jcpsp.2022.Supp.S105","article-title":"Intraoperative Monitoring and Preservation of Anatomic Integrity of Palsied Recurrent Laryngeal Nerve is Extremely Meaningful During Redo Thyroid Surgery","volume":"32","author":"Gurleyik","year":"2022","journal-title":"J. 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