Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSPWU, Che-WeiDIONIGI, GianlorenzoBARCZYNSKI, MarcinCHIANG, Feng-YuDRALLE, HenningSCHNEIDER, RickAL-QUARYSHI, ZaidANGELOS, PeterBRAUCKHOFF, KatrinBROOKS, Jennifer A.CERNEA, Claudio R.CHAPLIN, JohnCHEN, Amy Y.DAVIES, LouiseDIERCKS, Gill R.DUH, Quan YangFUNDAKOWSKI, ChristopherGORETZKI, Peter E.HALES, Nathan W.HARTL, DanaKAMANI, DiptiKANDIL, EmadKYRIAZIDIS, NataliaLIDDY, WhitneyMIYAUCHI, AkiraORLOFF, LisaRASTATTER, Jeff C.SCHARPF, JosephSERPELL, JonathanSHIN, Jennifer J.SINCLAIR, Catherine F.STACK JR., Brendan C.TOLLEY, Neil S.SLYCKE, Sam VanSNYDER, Samuel K.URKEN, Mark L.VOLPI, EriveltoWITTERICK, IanWONG, Richard J.WOODSON, GayleZAFEREO, MarkRANDOLPH, Gregory W.2019-01-172019-01-172018LARYNGOSCOPE, v.128, suppl.3, Special Issue, p.S18-S27, 20180023-852Xhttps://observatorio.fm.usp.br/handle/OPI/29777The purpose of this publication was to inform surgeons as to the modern state-of-the-art evidence-based guidelines for management of the recurrent laryngeal nerve invaded by malignancy through blending the domains of 1) surgical intraoperative information, 2) preoperative glottic function, and 3) intraoperative real-time electrophysiologic information. These guidelines generated by the International Neural Monitoring Study Group (INMSG) are envisioned to assist the clinical decision-making process involved in recurrent laryngeal nerve management during thyroid surgery by incorporating the important information domains of not only gross surgical findings but also intraoperative recurrent laryngeal nerve functional status and preoperative laryngoscopy findings. These guidelines are presented mainly through algorithmic workflow diagrams for convenience and the ease of application. These guidelines are published in conjunction with the INMSG Guidelines Part I: Staging Bilateral Thyroid Surgery With Monitoring Loss of Signal. Level of Evidence: 5 Laryngoscope, 128:S18-S27, 2018engrestrictedAccessThyroid malignancythyroid surgeryinvaded nerverecurrent laryngeal nerveintraoperative neuromonitoringvocal cord paralysisonly functional nervenerve resectionnerve preservationbilateral surgerysociety consensus statementvocal cord functionparathyroid surgeryamerican headclinicopathological featuresprognostic-factorscarcinomaresectionreconstructionmalignancyarticleCopyright WILEY10.1002/lary.27360Medicine, Research & ExperimentalOtorhinolaryngology1531-4995