“The final countdown”: Is intraoperative, intermittent neuromonitoring really useful in preventing permanent nerve palsy? Evidence from a meta-analysis

Our results show that the use of IONM does not prevent permanent nerve palsy; no significant benefit of IONM over visualization alone in reducing the rate of recurrent laryngeal nerve injuries could be proven. In conclusion, IONM should not be considered the standard care in preventing recurrent laryngeal nerve palsy.