Sedlmaier A, Steinmüller T, Hermanns M, et al. - In this retrospective clinical study, prospective case series involving 346 patients, researchers compared continuous (C-IONM) compared with intermittent intraoperative neuromonitoring (I-IONM) in complex benign thyroid surgery, and follow-up patients with loss of signal (LOS) or unilateral vocal fold paralysis (UVFP). This investigation was performed at a university hospital and academic teaching hospital of Charité - University Medicine Berlin, Germany. Compared with I-IONM, C-IONM-application in complex benign thyroid surgery displays a significant decrease of transient UVFP and a non-significant trend in the prevention of permanent UVFP. Long-term effective treatment strategies for enhancing vocal function are endolaryngeal phonomicrosurgery and transcervical laryngeal framework surgery in persistent dysphonia UVFP.