Intraoperative Neuromonitoring Does Not Reduce the Risk of Temporary and Definitive Recurrent Laryngeal Nerve Damage during Thyroid Surgery: A Systematic Review and Meta-Analysis of Endoscopic Findings from 73,325 Nerves at Risk.

Though other meta-analyses exploring the role of IONM in RLN damage do exist [ 17 , 21 , 22 ], our study is the only study dealing with an extremely significant patient pool, thus allowing for appreciating slight differences even in rare events and the only one that specifically relies on prospective studies that explicitly and systematically employ laryngeal endoscopy for evaluation.

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