Intraoperative Neuromuscular Monitoring and Its Impact on Pre- and Postoperative Acoustic Outcomes in Thyroid Surgery

This study examines whether real-time nerve monitoring during thyroid surgery reduces the risk of voice changes or hoarseness after the procedure. The recurrent laryngeal nerve — which controls the vocal cords — runs near the thyroid gland and can be accidentally damaged during surgery. Intraoperative monitoring may help surgeons avoid this complication. **You may be eligible if...** - You are aged 20–60 and scheduled for a standard unilateral thyroid lobectomy with removal of the nearby lymph nodes (central compartment) - You have no pre-existing voice or swallowing problems - You have no history of head or neck surgeries **You may NOT be eligible if...** - You have a history of head or neck surgery - You have vocal cord polyps, nodules, or paralysis - You have had a recent throat infection or known throat abnormalities - You have neurological disorders or pre-existing voice/speech problems Talk to your doctor to see if this trial is right for you.