Sternotomy-sparing surgical dissection technique of a large thyroid substernal goiter with preservation of bilateral recurrent laryngeal nerves and parathyroid glands

Introduction: Recurrent laryngeal nerves (RLN) are particularly prone to injury during thyroid surgeries due to its intimate relationship and proximity with the gland. Zuckerkandl’s tubercle (ZT) helps in preserving RLN intra operative. Material and Methods: A prospective study for identifying RLN in thyroid surgery using relationship with superior parathyroid gland and tubercle of Zuckerkandl was conducted on 50 thyroidectomy patients between August 2013 and February 2014. Results: In all cases ZT was identified. Temporary paralysis of RLN was seen in 3 (6%) cases and permanent paralysis in 2 (4%) of cases. Discussion: The site of greatest risk during thyroidectomy to the RLN is in the last 2-3 cm extralaryngeal course of the nerve. Relationship of recurrent laryngeal nerve with superior parathyroid gland and tubercle of Zukerkandl (ZT) is known. Conclusion: Use of ZT and superior parathyroids as a landmark allows safe dissection of RLN.

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Effect of Dissection of the Recurrent Laryngeal Nerves on Parathyroid Insufficiency during Total Thyroidectomy for Multinodular Goitre

JOURNAL FOR CLINICAL AND DIAGNOSTIC RESEARCH ◽

10.7860/jcdr/2016/16892.7196 ◽

2016 ◽

Author(s):

Vengayil Sukumaran

Keyword(s):

Total Thyroidectomy ◽

Multinodular Goitre ◽

Laryngeal Nerves ◽

Recurrent Laryngeal Nerves

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Postoperative Paralysis of Phrenic and Recurrent Laryngeal Nerves

Anesthesiology ◽

10.1097/00000542-198107000-00017 ◽

1981 ◽

Vol 55 (1) ◽

pp. 78-79 ◽

Cited By ~ 4

Author(s):

ANIS BARAKA ◽

KAMAL HEMADY ◽

FIRYAL YAMUT ◽

WISAL YAZIGI ◽

RINALDO F. CANALIS

Keyword(s):

Laryngeal Nerves ◽

Recurrent Laryngeal Nerves

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Vocal cord paralysis as a presenting sign of autosomal recessive spinocerebellar atrophy type 10

BMJ Case Reports ◽

10.1136/bcr-2021-245484 ◽

2021 ◽

Vol 14 (12) ◽

pp. e245484

Author(s):

David Vaughan ◽

Adrinda Affendi ◽

Patrick Sheahan ◽

Brian Sweeney

Keyword(s):

Vocal Cord ◽

Autosomal Recessive ◽

Vocal Cord Paralysis ◽

Recessive Mutation ◽

Speech Disturbance ◽

Laryngeal Nerves ◽

Recessive Type ◽

Autosomal Recessive Mutation ◽

Recurrent Laryngeal Nerves ◽

Spinocerebellar Atrophy

Acquired vocal cord paralysis (VCP) is caused by dysfunction or injury of one or both recurrent laryngeal nerves. Here we report a 41-year-old man with spinocerebellar atrophy, autosomal recessive type 10 (SCAR10) due to an autosomal recessive mutation in the ANO10 gene, with VCP as the presenting symptom. He later developed ataxia and speech disturbance.

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