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One permanent vocal cord palsy per 75·0 early vocal cord palsies was observed with continuous IONM, compared with one per 4·2 after intermittent IONM. Early postoperative vocal cord palsies were 17·9-fold less likely to become permanent with continuous than intermittent IONM. Continuous IONM is superior to intermittent IONM in preventing vocal cord palsy. Continuous IONM is superior to intermittent IONM in preventing vocal cord palsy. Prepectoral implant-based breast reconstruction with acellular dermal matrix has become an increasingl

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