OBJECTIVES: To evaluate the feasibility of intraoperative neuromonitoring (IONM) in identifying the external branch of the superior laryngeal nerve (EBSLN), classifying its anatomical variations, and to evaluate short-term vocal function in patients undergoing transoral endoscopic thyroidectomy vestibular approach (TOETVA).
✦ The floor
Discussion
Signed responses from readers of the wire.
No actionable change for audiologists; this is a surgical feasibility study in thyroid surgery with no direct relevance to audiology clinical practice.
While intraoperative nerve monitoring has peripheral relevance to surgical audiology and neuromonitoring subspecialties, this study's findings apply to thyroid surgery teams rather than the broader audiology field.
- 01Study assessed intraoperative neuromonitoring (IONM) during transoral endoscopic thyroidectomy in Vietnam.
- 02Focus was on identifying and classifying the external branch of the superior laryngeal nerve (EBSLN).
- 03Described as an 'initial experience,' indicating early-stage, low-volume feasibility data.
- 04Published in Frontiers in Surgery; not an audiology-specific journal.
- 05Findings are not directly applicable to hearing or vestibular clinical practice.
Intraoperative neuromonitoring is feasible for identifying the external branch of the superior laryngeal nerve during transoral endoscopic thyroidectomy.
studypartially supported- PMID
- 42609625
- DOI
- 10.3389/fsurg.2026.1870052.
- Journal
- Frontiers in Surgery
- Publication type
- research_article
- Evidence level
- 4
- Population
- Patients undergoing transoral endoscopic thyroidectomy in Vietnam
- Intervention
- Intraoperative neuromonitoring for the external branch of the superior laryngeal nerve
Primary outcomes
Feasibility of IONM for EBSLN identification; Classification of EBSLN during transoral endoscopic thyroidectomy