Value of Neurostimulation Plus Laryngeal Palpation to Predict Postoperative Vocal Fold Motility

•Intraoperative neuromonitoring of recurrent laryngeal nerve integrates visual identification providing valuable information on their functional integrity.•The aim of this study was to evaluate the reliability of intermittent intraoperative neuromonitoring in addition to laryngeal palpation in predicting postoperative vocal cord palsy.•High sensitivity and specificity confirm the validity of IONM with simultaneous laryngeal palpation in predicting the regular functioning of the RLN and therefore of the vocal cord.