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Abstract Background: Recurrent laryngeal nerve paralysis is a much-dreaded complication of thyroid surgery. It may be transient or permanent, but it is always serious when there is bilateral vocal fold immobility. Clinical signs range from various degrees of dysphonia to life-threatening airway obstruction. Objective: The aim of this study is to compare the incidence of postoperative vocal cord paresis or paralysis in patients who underwent thyroidectomy with or without continuous recurrent laryngeal nerve (RLN) monitoring .We hypothesize that continuous RLN monitoring reduces the rate of nerve injury during thyroidectomy. Search strategy: We searched the Medline database provided by the National Library of Medicine at www.pubmed.com for Randomised controlled trials through reviewing published relevant articles in English language .The last search was performed on (15-1-2008) Selection criteria: Randomised controlled trials comparing the exposure of RLN in thyroid surgery with non exposure. Data collection and analysis: Literature search showed that no RCT`S were published concerning the subject. |