Partial intraoperative signal recovery is associated with normal postoperative vocal cord motility in patients with intraoperative loss of signal - Takeaways - MDSpire
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Intraoperative Signal Recovery Correlates with Normal Postoperative Vocal Cord Function in Patients Experiencing Signal Loss During Surgery

  • By

  • Pierpaolo Gallucci

  • Priscilla Francesca Procopio

  • Francesco Pennestrì

  • Giuseppe Marincola

  • Lucia D’Alatri

  • Annamaria Martullo

  • Carmela De Crea

  • Marco Raffaelli

  • August 20, 2025

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  • 1

    Partial intraoperative signal recovery (ISR) is linked to normal postoperative vocal cord motility in patients with intraoperative loss of signal (LOS).

  • 2

    Intraoperative neuromonitoring (IONM) helps identify vocal cord motility alterations early, reducing the risk of vocal cord paralysis (VCP) during thyroid surgery.

  • 3

    Patients with ISR greater than 50% and latency under 10% have better functional healing outcomes compared to those with lower ISR and higher latency.

  • 4

    The study aims to determine the optimal ISR cut-off to predict normal vocal fold motility, potentially avoiding staged thyroidectomy in certain patients.

  • 5

    A total of 5884 thyroid procedures were analyzed, focusing on patients with LOS and ISR below 50%, ensuring a homogeneous population for outcome assessment.

Original Source(s)

Partial intraoperative signal recovery is associated with normal postoperative vocal cord motility in patients with intraoperative loss of signal

  • by Pierpaolo Gallucci, Priscilla Francesca Procopio, Francesco Pennestrì, Giuseppe Marincola, Lucia D’Alatri, Annamaria Martullo, Carmela De Crea, Marco Raffaelli

  • August 20, 2025

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