Legré M, et al. - Researchers investigated the reliability, feasibility, and benefits of the recurrent laryngeal nerve (RLN) monitoring during thyroid and parathyroid (TP) surgery in children. They classified children who underwent TP surgery into three groups: without monitoring (group 1), monitoring with an endotracheal tube (group 2) and monitoring with a double-needle electrode placed through the cricothyroid ligament (group 3). From January 2009 to March 2018, 53 surgeries (77 RLNs at risk) were performed on 47 patients aged between 6 months and 18 years. They reported 14 RLNs in group 1, 47 in group 2 and 16 in group 3. The monitoring methods exhibited the sensitivity and specificity of 33% and 97% in group 2 and 67% and 100% in group 3, respectively. In group 2, the positive and negative predictive values were 50% and 95%, respectively, and in group 3, the values were 100%, and 92%, respectively. Outcomes support the safety of undertaking monitoring of the RLN with a double-needle electrode inserted through the cricothyroid ligament with no associated complication; this is achievable at any age.