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Page 12 of 17 Priya et al. J Cancer Metastasis Treat 2021;7:70 https://dx.doi.org/10.20517/2394-4722.2021.122
Figure 6. Algorithm for intraoperative decision-making in true LOS.
However, the authors also suggested a balanced individualized decision based on surgical fitness for second
surgery, appropriate counseling of the patients, and the nature of the disease before making a decision.
Deferring surgery due to LOS on ipsilateral side
In high-volume centers, where the learning curve is surpassed and probability of false LOS is minimized,
there is evidence to suggest deferring surgery on the contralateral side prevents incidence of bilateral vocal
cord palsy as opposed to those performing contralateral surgery from 17%-28.6% to 0% [31,51,52] .
