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

2016 ◽  
Author(s):  
Vengayil Sukumaran
Keyword(s):  
Total Thyroidectomy ◽  
Multinodular Goitre ◽  
Laryngeal Nerves ◽  
Recurrent Laryngeal Nerves

scholarly journals The Effect of Intraoperative Neuromonitoring on Damage to the Laryngeal Nerves in Patients Undergoing Total Thyroidectomy.

2021 ◽  
Author(s):  
Piotr Bryk ◽  
Stanisław Głuszek
Keyword(s):  
Recurrent Laryngeal Nerve ◽  
Total Thyroidectomy ◽  
Nodular Goiter ◽  
Intraoperative Neuromonitoring ◽  
Laryngeal Nerve ◽  
Control Group ◽  
Study Group ◽  
Laryngeal Nerves ◽  
Recurrent Laryngeal Nerves

Abstract Background: Assessment of intraoperative neuromonitoring in the prevention of damage to the recurrent laryngeal nerve during total thyroidectomy.Material and methods: A group of 367 patients qualified for the study, including 312 women (85.01%) and 55 (14.99%) men, aged 18-79, having undergone total thyroidectomy due to a neutral nodular goiter. The patients were operated on by one surgeon. The study group consisted of 205 patients, including 173 (84.39%) women and 32 (15.61%) men, aged 19-79, who were operated on with the use of intraoperative neuromonitoring. The control group consisted of 162 patients, including 139 (85.80%) women and 23 (14.20%) men, aged 18-77 years, who had undergone surgery only with macroscopic visualization of the recurrent laryngeal nerve without the application of intraoperative neuromonitoring. Then, in the period from 2 to 10 years after the surgery, follow-up examinations were performed, which included 153 patients from the control group (74.6% [153/205]) and 122 patients from the study group (75.3% [122 / 162] Results: The frequency of vocal fold palsy did not differ significantly statistically in the study group and the control group (study group: 4.9% [10/205], control group: 4.9% [8/162]; p = 0.979). In the follow-up study, the incidence of laryngeal fold palsy did not show statistically significant differences between the study and control groups. Most of the damage to the recurrent laryngeal nerves was persistent.Conclusions: Neuromonitoring did not reduce the number of recurrent laryngeal nerve injuries in relation to the nerve visualization alone in noncapsular total thyroidectomy for benign nodular goiter, performed by the same experienced surgeon.

Afferent Activity in the External Branch of the Superior Laryngeal and Recurrent Laryngeal Nerves

1991 ◽  
Vol 100 (11) ◽  
pp. 944-950 ◽  
Author(s):  
Franca B. Sant'Ambrogio ◽  
Oommen P. Mathew ◽  
Hirokazu Tsubone ◽  
Giuseppe Sant'Ambrogio
Keyword(s):  
Afferent Activity ◽  
Laryngeal Nerves ◽  
External Branch ◽  
Recurrent Laryngeal Nerves

Microsurgical Anatomy of the Superior and Recurrent Laryngeal Nerves

Neurosurgery ◽  
2001 ◽  
Vol 49 (4) ◽  
pp. 925-933 ◽  
Author(s):  
Ashkan Monfared ◽  
Daniel Kim ◽  
Sivakumar Jaikumar ◽  
Goutham Gorti ◽  
Andrew Kam
Keyword(s):  
Microsurgical Anatomy ◽  
Laryngeal Nerves ◽  
Recurrent Laryngeal Nerves

scholarly journals Identifying Recurrent Laryngeal Nerve in Thyroid Surgery Using Relationship with Superior Parathyroid Gland and Tubercle of Zuckerkandl

2015 ◽  
Vol 23 (3) ◽  
pp. 99-103
Author(s):  
Somesh Mozumder ◽  
Shirish Dubey ◽  
Aniruddha Dam ◽  
Anup Kumar Bhowmick
Keyword(s):  
Prospective Study ◽  
Recurrent Laryngeal Nerve ◽  
Parathyroid Gland ◽  
Thyroid Surgery ◽  
Intimate Relationship ◽  
Laryngeal Nerve ◽  
Laryngeal Nerves ◽  
Recurrent Laryngeal Nerves ◽  
A Prospective Study ◽  
Relationship Of

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.

Postoperative Paralysis of Phrenic and Recurrent Laryngeal Nerves

1981 ◽  
Vol 55 (1) ◽  
pp. 78-79 ◽  
Author(s):  
ANIS BARAKA ◽  
KAMAL HEMADY ◽  
FIRYAL YAMUT ◽  
WISAL YAZIGI ◽  
RINALDO F. CANALIS
Keyword(s):  
Laryngeal Nerves ◽  
Recurrent Laryngeal Nerves

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

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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