Recurrent Laryngeal Nerve Localization Using a Microlaryngeal Electrode

1979 ◽  
Vol 87 (3) ◽  
pp. 330-333 ◽  
Author(s):  
William E. Davis ◽  
J. Lee Rea ◽  
Jerry Templer

Damage to the recurrent laryngeal nerve is a frequently teen complication in head and neck surgery. A system for intraoperative monitoring of the recurrent laryngeal nerve is presented. The key to this system lies in the use of a microlaryngeal electrode and inserter. Application of this system to various situations is described.

2012 ◽  
Vol 2 (2) ◽  
pp. 27-28
Author(s):  
H Dutta ◽  
BK Sinha ◽  
DK Baskota

Nepalese Journal of ENT Head and Neck Surgery Vol.2 No.2 Issue 2 (July-Dec 2011) 27-28 DOI: http://dx.doi.org/10.3126/njenthns.v2i2.6803


Author(s):  
Nitika Gupta ◽  
Rohan Gupta ◽  
Inderpal Singh ◽  
Sunil Kotwal

<p class="abstract"><strong>Background:</strong> Galen first described the recurrent laryngeal nerve (RLN) as a nerve that descended from the brain to the heart, then reversed the course and ascended to the larynx and caused the vocal cords to move. Tracheoesophageal groove is useful for identifying the RLN. In the present study we studied the course of RLN in tracheoesophageal groove and its anatomical position, in patients undergoing thyroid surgery.</p><p class="abstract"><strong>Methods:</strong> The study was conducted in the Department of ENT and Head and Neck Surgery, SMGS Hospital, for a period of two years, on the patients who underwent thyroid surgeries. Tracheoesophageal groove was considered first landmark to identify RLN position and only after meticulous dissection in the groove, the nerve could be identified. The nerve was carefully dissected and its position evaluated in relation with trachea and esophagus.  </p><p class="abstract"><strong>Results:</strong> Trajectory of the nerves studied in the patients was mostly in the tracheoesophageal groove (TEG), seen in 113 (69.75%) nerves. 16.05% of the nerves were seen in the posterior half of the trachea while 4.94% of the nerves were seen to travel from TEG to anterior half of trachea and 1.85% from TEG to posterior half of trachea. 6.17% of nerves travelled from oesophagus to the TEG.</p><p class="abstract"><strong>Conclusions:</strong> A uniform dissection procedure should be followed and the recurrent laryngeal nerve must be first looked for in the TEG, which serves as important landmark and later any deviation must be considered.</p><p class="abstract"> </p>


2021 ◽  
Vol 72 (3) ◽  
pp. 158-163
Author(s):  
Carlos Miguel Chiesa-Estomba ◽  
Carlos Saga-Gutiérrez ◽  
José Ángel González-García ◽  
Christian Calvo-Henríquez ◽  
Ekhiñe Larruscain ◽  
...  

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