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CONCLUSIONS In high-volume centers the price of transitory / permanent singing cord palsy is reasonable but in addition in these Units the requirement of experience safety relates to IONM. The employment of the IONM is an helpful device for dissection and anatomical identification regarding the nerves. IONM features a high specificity and susceptibility and a top negative predictive worth. PPV as 52% definable reasonable, may be regarding the transient stupor of n