Continuous Intraoperative Recurrent Laryngeal Nerve Monitoring: Techniques, Applications, and Controversies

Abstract Purpose of Review the present review is to illustrate current state art concerning continuous intraoperative recurrent laryngeal nerve monitoring (cIONM) for thyroid surgery. Recent Findings cIONM potentially leads an improved postoperative vocal cord palsy rate, compared intermittent technique. There are currently two main approaches cIONM: either conventional based on vagal stimulation or experimental methods, which do not require positioning a electrode. One these methods recently described technique “LAR-cIONM,” utilizes adductor reflex. Summary represents advancement monitoring, allows immediate reaction signal changes. Threshold values and guidelines prevent were validated direct verification alterative including LAR-cIONM.