Percutaneous Vagal Stimulation Outperforms Peroral Method in Thyroid Surgery

In a comparative study of neuromonitoring techniques during transoral thyroidectomy, percutaneous continuous vagal stimulation (PC) demonstrated superior performance over the conventional peroral delta electrode method. The PC group achieved faster electrode positioning, fewer displacement issues, and more reliable EMG signals. While both groups faced traction-related nerve injuries during surgery, the PC group’s incidents resulted in no lasting vocal cord paralysis, contrasting with two cases in the delta group. This technique enhances the safety of thyroid surgeries by better detecting nerve injuries.