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J Cancer Metastasis Treat 2021;7:[Accepted].10.20517/2394-4722.2021.122@The Author(s) 2021
Accepted Manuscript
Open AccessReview

Intraoperative monitoring of the Recurrent Laryngeal Nerve in surgeries for thyroid cancer: a review

Correspondence Address: Dr. Mitali Dandekar, Department of Surgical Oncology, Paras Cancer Centre, Paras HMRI Hospital, Bailey Road, Patna 800014, India. E-mail:; ORCID id: 0000-0002-8435-4249


© The Author(s) 2021. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License (, which permits unrestricted use, sharing, adaptation, distribution and reproduction in any medium or format, for any purpose, even commercially, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.


Intraoperative nerve monitoring (IONM) has evolved into an objective tool not only for the identification but also for the preservation and prognostication of function of the Recurrent laryngeal nerve (RLN) in thyroid surgeries. Technical improvements have resulted in the increasing incorporation of IONM into operating rooms around the world. The importance of adherence to recommended standards is also recognized as being vital in optimizing the efficacy of IONM. The advent of continuous IONM (CIONM) has made real-time nerve monitoring possible, thus providing the surgeon with an ally in difficult surgeries. Additionally, as thyroid surgeries are evolving into remote access and minimally invasive procedures, so also is the applicability of IONM. This review focuses on the use of IONM for nerve monitoring in thyroidectomies for neoplastic conditions while discussing the rationale, technique, and interpretation of findings and their implications.

Cite This Article

Priya SR, Garg S, Dandekar M. Intraoperative monitoring of the Recurrent Laryngeal Nerve in surgeries for thyroid cancer: a review. J Cancer Metastasis Treat 2021;7:[Accept].

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