Root cause analysis (RCA) is a critical task in telecom network operations, but diagnosing performance degradations in modern 5G and emerging 6G networks remains challenging due to complex cross-layer dependencies. While large language models (LLMs) offer promising capabilities for reasoning and knowledge integration, directly applying vanilla LLMs to telecom RCA often leads to hallucination, unstable reasoning, and poor alignment with structured network evidence. This work first reviews the evolution of telecom RCA from rule-based and machine learning (ML) approaches to emerging LLM-enabled techniques, and provides an overview of recent paradigms, including structured reasoning, retrieval-augmented knowledge grounding, agentic orchestration, and verifiable reasoning. Building upon these insights, we propose a structured reasoning framework for LLM-enabled telecom RCA that aligns diagnostic reasoning with telecom-specific evidence and domain knowledge. The proposed approach first organizes heterogeneous network telemetry into canonical contexts, and then enforces decision-path reasoning during diagnosis, and finally generates evidence-grounded explanations for reliable fault identification. Experimental results on two 5G RCA datasets, TeleLogs and TelecomTS, demonstrate that the proposed framework consistently improves diagnostic accuracy and decision consistency compared with baseline techniques. These cross-dataset results highlight the importance of structured reasoning design for practical LLM-based RCA systems in next-generation telecom networks.
LLM inference accounts for over 90% of AI operational energy, scaling directly with input token count---a critical inefficiency for telecom network analytics and numerical time-series data analysis (NTSDA), where raw multivariate KPI windows from 4G/5G cell sites expand into thousands of floating-point tokens. Vision-Language Models (VLMs) eliminate this mismatch by encoding time-series as 2D plots, achieving 3.6-10.4x input token reduction across Llama-3.2-90B, Qwen2.5-VL-72B, and Pixtral-12B architectures. This translates to 1.8-2.5x measured inference energy reduction, saving approximately 7.2 MJ/day at telecom edge deployments and CloudRAN that monitor 200 cells per 15-minute interval. Critically, efficiency gains do not sacrifice accuracy: a fine-tuned Llama-3.2-90B-Vision VLM achieves 220.7% higher precision than its text-only counterpart and outperforms LSTM and ARIMA baselines by over 144% on telecom anomaly detection. On public benchmarks, Pixtral-12B achieves a 20.6x improvement in J/F1 score at mean F1 = 0.82. At 24 KPIs, text representations exceed the 128K context window of most production LLMs, rendering text-only processing infeasible without truncation, while visual representations remain within standard limits. These results establish VLMs as an energy-efficient and accuracy-superior modality for numerical time-series workloads, providing empirical grounding for AI inference systems that treat energy consumption as a first-class engineering constraint.