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Updated: Feb 14, 2026

Identification and Protection of the Recurrent Laryngeal Nerve during Transoral Robotic Thyroidectomy
Published on: October 24, 2025
Surgical management of the recurrent laryngeal nerve in thyroidectomy: American Head and Neck Society Consensus
Christopher E Fundakowski1,2, Nathan W Hales3,4, Nishant Agrawal5
1Department of Otolaryngology, Temple University, Philadelphia, Pennsylvania.
Abstract:
"I have noticed in operations of this kind, which I have seen performed by others upon the living, and in a number of excisions, which I have myself performed on the dead body, that most of the difficulty in the separation of the tumor has occurred in the region of these ligaments…. This difficulty, I believe, to be a very frequent source of that accident, which so commonly occurs in removal of goiter, I mean division of the recurrent laryngeal nerve." Sir James Berry (1887).
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