Limits of neuromonitoring in thyroid surgery.

W e read with interest the comprehensive article by Dr Brauckhoff et al,1 and we appreciated their aim of determining the impact of intraoperative neuromonitoring (IONM) to discriminate between a nonrecurrent laryngeal nerve (non-RLN) and a recurrent laryngeal nerve (RLN) in helping to avoid injury to the aberrant nerve. We would like to offer an additional remark. Considering the increasing trend in the use of IONM,2 it is important to evaluate the current limits of IONM technology.

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