scholarly journals Clinical anatomy and features non-recurrent inferior laryngeal nerve in thyroid surgery. Case report

2017 ◽  
Vol 12 (3) ◽  
pp. 31-36 ◽  
Author(s):  
Dmitri A. Galushko ◽  
Hayk G. Asmaryan ◽  
Maksim A. Pasko
Keyword(s):  
Case Report ◽  
Thyroid Surgery ◽  
Laryngeal Nerve ◽  
Clinical Anatomy ◽  
Inferior Laryngeal Nerve

В последние десятилетия отмечается значительный успех в хирургии щитовидной железы, однако частота развития пареза гортани вследствие повреждения возвратного гортанного нерва остается высокой. Детальное изучение разных вариантов топики нерва – одно из направлений, дающих возможность снизить его травматизацию. Невозвратный нижний гортанный нерв является редкой анатомической особенностью, которая выявляется при операциях на щитовидной железе в 0,3–1% случаев. Несмотря на такую редкую встречаемость, к сожалению, атипичное расположение невозвратного гортанного нерва создает предпосылки для его ятрогенного повреждения. В статье проведен анализ литературы, описаны причины возникновения, связь с аномалией магистральных сосудов и клиническое значение. Описаны два случая выявления невозвратного нижнего гортанного нерва в хирургической клинике ФГБУ РНЦРР МЗ РФ. 

scholarly journals Nonrecurrent Laryngeal Nerve: A Case Report and Literature Review

2020 ◽  
Vol 1 (1) ◽  
Author(s):  
Enrico Maria Amadei ◽  
Christopher Fabbri ◽  
Marco Trebbi
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Thyroid Surgery ◽  
Recent Literature ◽  
Follicular Adenoma ◽  
Laryngeal Nerve ◽  
Inferior Laryngeal Nerve ◽  
Anatomical Variant ◽  
Nonrecurrent Laryngeal Nerve

We report the case of a patient submitted to a right hemithyroidectomy for a follicular adenoma, when we found a nonrecurrent laryngeal nerve. This is a really rare anatomical presentation that can seriously compromise the integrity and preservation of the inferior laryngeal nerve during thyroid surgery. We describe how we found and managed this anatomical variant and we conduct a review of the most recent Literature about nonrecurrent laryngeal nerve.

scholarly journals Intraoperative finding non-recurrent inferior laryngeal nerve, critical step of thyroid surgery, literature review, and case report

2020 ◽  
Vol 83 (3) ◽  
Author(s):  
Ediel O. Dávila-Ruiz ◽  
Roberto A. García-Manzano ◽  
Nallely Y. Martínez-Santiago ◽  
Daniel A. Bracamontes-Rosas
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Thyroid Surgery ◽  
Laryngeal Nerve ◽  
Inferior Laryngeal Nerve ◽  
Critical Step

Nonrecurrent Laryngeal Nerve: A Case Report and Literature Review

2020 ◽  
Vol 2 (1) ◽  
pp. 01-04
Author(s):  
Enrico Amadei
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Thyroid Surgery ◽  
Recent Literature ◽  
Follicular Adenoma ◽  
Laryngeal Nerve ◽  
Inferior Laryngeal Nerve ◽  
Anatomical Variant ◽  
Nonrecurrent Laryngeal Nerve

We report the case of a patient submitted to a right hemithyroidectomy for a follicular adenoma, when we found a nonrecurrent laryngeal nerve. This is a really rare anatomical presentation that can seriously compromise the integrity and preservation of the inferior laryngeal nerve during thyroid surgery. We describe how we found and managed this anatomical variant and we conduct a review of the most recent Literature about nonrecurrent laryngeal nerve.

scholarly journals A non-recurrent inferior laryngeal nerve in a man undergoing thyroidectomy: a case report

2010 ◽  
Vol 4 (1) ◽  
Author(s):  
Diogo Casal ◽  
António Peças ◽  
Daniel Sousa ◽  
Jorge Rosa-Santos
Keyword(s):  
Case Report ◽  
Laryngeal Nerve ◽  
Inferior Laryngeal Nerve

scholarly journals Non-recurrent inferior laryngeal nerve related to thyroid surgery: a clinical study

2013 ◽  
Vol 23 (2) ◽  
pp. 275-279 ◽  
Author(s):  
Norihiko Narita ◽  
Yuji Kato ◽  
Taiyo Morikawa ◽  
Yoshimasa Imoto ◽  
Masayuki Okamoto ◽  
...  
Keyword(s):  
Clinical Study ◽  
Thyroid Surgery ◽  
Laryngeal Nerve ◽  
Inferior Laryngeal Nerve

scholarly journals Postoperative Hypoparathyroidism in Thyroid Surgery: Anatomic-Surgical Mapping of the Parathyroids and Implications for Thyroid Surgery

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Florian Burger ◽  
Helga Fritsch ◽  
Marit Zwierzina ◽  
Rupert Prommegger ◽  
Marko Konschake
Keyword(s):  
Thyroid Gland ◽  
Coordinate System ◽  
Blood Supply ◽  
Thyroid Surgery ◽  
Laryngeal Nerve ◽  
Superior Thyroid Artery ◽  
Cartesian Coordinate System ◽  
Inferior Laryngeal Nerve ◽  
Postoperative Hypoparathyroidism ◽  
Cartesian Coordinate

Abstract Hypoparathyroidism remains one of the most common complications in thyroid surgery. This study aims for an improved understanding of the complexity of the blood supply and the localisation of the parathyroids compared to the two most important intraoperative landmarks: the inferior laryngeal nerve (ILN) and Zuckerkandl’s tubercle (ZT). We examined 103 laryngeal compounds to classify the blood supply and the localisation of the parathyroids. For intraoperative localisation we defined a Cartesian coordinate system with the ZT plane as x-axis and the course of the inferior laryngeal nerve as y-axis. The inferior thyroid artery (ITA) mainly supplies the parathyroids, whereas the superior thyroid artery provides a backup supply. It must be pointed out that 8.2% of parathyroids receive their blood directly from the thyroid gland. 73.5% of all parathyroids lie within 1 cm of the ILN and 1 cm cranial and 2.5 cm caudal to the ZT plane. Our described perimeters mark the most crucial areas during surgery and provide the surgeon with an anatomic mapping showing areas of special carefulness needed. One should keep bearing in mind all possible blood supply types of the parathyroids and therefore all branches should be handled with care.

scholarly journals The Nonrecurrent Laryngeal Nerve Without Abnormal Subclavian Artery: Report of Two Cases and Review of the Literature

2021 ◽  
pp. 014556132110565
Author(s):  
Ying Lu ◽  
ChengHui Deng ◽  
Ning Lan ◽  
PinXiu Wang ◽  
HuaZe Xi ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Vagus Nerve ◽  
Subclavian Artery ◽  
Thyroid Surgery ◽  
Laryngeal Nerve ◽  
Inferior Laryngeal Nerve ◽  
Review Of The Literature ◽  
Nonrecurrent Inferior Laryngeal Nerve ◽  
Nonrecurrent Laryngeal Nerve ◽  
Neural Monitoring

As a variant of recurrent inferior laryngeal nerve (RILN), the nonrecurrent inferior laryngeal nerve (NRILN) is closely related to the occurrence of abnormal subclavian artery (ASA). The nonrecurrent inferior laryngeal nerve has been found in patients without arterial abnormalities, which is seen in the coexistence of NRILN and RILN, but it is easily confused with sympathetic-inferior laryngeal anastomosis branch (SILAB). We encountered 2 right NRILN patients without ASA during thyroid surgery. This article summarizes the characteristics of these cases and proposes methods to distinguish the coexistence of NRILN and RILN from SILAB. So far, 11 articles have reported 16 cases of NRILN without arterial abnormalities. In patients without artery abnormality, the vagus nerve could send out a descending branch NRILN at the bifurcation of the carotid artery and enter the larynx after anastomosis with RILN. Adequate dissection of the carotid sheath may avoid confusion with SILAB, and neural monitoring is also expected to provide a reference for the identification.

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