identifying the non‑recurrent laryngeal nerve: preventing a major risk of morbidity during thyroidectomy
نویسندگان
چکیده
non‑recurrent laryngeal nerve (nrln) is a rare anomaly which is reported in 0.3%‑0.8% of people on the right side and in 0.004% (extremely rare) on the left side. damage to this nerve during the surgical procedure may lead to severe iatrogenic morbidity and should therefore be prevented from being damaged. the best way to avoid this damage to the nerve is to identify the nerve with a systematic diligent dissection based on usual anatomical landmarks and awareness about the possibility of their existence. hereby, we are going to present a 26‑year‑old woman, a case of nrln on the right side which was identified during thyroidectomy. the nervous anomaly was accompanied with vascular abnormality which was confirmed by computerized tomography (ct) angiography, post‑operatively.
منابع مشابه
Identifying the Non-recurrent Laryngeal Nerve: Preventing a Major Risk of Morbidity During Thyroidectomy
Non-recurrent laryngeal nerve (NRLN) is a rare anomaly which is reported in 0.3%-0.8% of people on the right side and in 0.004% (extremely rare) on the left side. Damage to this nerve during the surgical procedure may lead to severe iatrogenic morbidity and should therefore be prevented from being damaged. The best way to avoid this damage to the nerve is to identify the nerve with a systematic...
متن کاملA Rare Variation of Inferior Laryngeal Nerve: Nonrecurrent Laryngeal Nerve.
A nonrecurrent laryngeal nerve variant of the inferior laryngeal nerve is very rarely seen, and surgeons should keep it in mind during thyroid surgery. Preoperative findings, like situs invertus and dysphagia lusoria, may be suggestive of a nonrecurrent laryngeal nerve. However, these findings always have not to be together with nonrecurrent laryngeal nerve, like our case.
متن کاملIntraoperative laryngeal nerve monitoring during thyroidectomy.
OBJECTIVE To determine whether nerve integrity monitor testing during thyroidectomy predicts recurrent laryngeal nerve (RLN) function after surgery. DESIGN Prospective cohort outcomes study PATIENTS The study included 210 consecutive patients with thyroid abnormalities who underwent thyroidectomy. METHODS All patients were intraoperatively monitored with a nerve integrity monitoring syste...
متن کاملNonrecurrent Laryngeal Nerve in the Era of Intraoperative Nerve Monitoring
Nonrecurrent laryngeal nerve (non-RLN) is an anatomical variation increasing the risk of vocal cord palsy. Prediction and early identification of non-RLN may minimize such a risk of injury. This study assessed the effect of intraoperative neuromonitoring (IONM) on the detection of non-RLN. A total of 462 (236 right) nerves in 272 patients were identified and totally exposed, and all intraoperat...
متن کاملA prospective evaluation of recurrent laryngeal nerve paralysis during thyroidectomy.
HYPOTHESIS Recurrent laryngeal nerve paralysis after thyroidectomy can be unrecognized without routine laryngoscopy, and patients have a good potential for recovery during follow-up. DESIGN A prospective evaluation of vocal cord function before and after thyroidectomy. Periodic vocal cord assessment was performed until recovery of cord function. Persistent cord palsy for longer than 12 months...
متن کاملTopographical analysis of the recurrent laryngeal nerve during thyroidectomy.
There were 79 right and 65 left nerves dissected (N=144). On the right, the mean length of the dissection was 27.72 mm and on the left 31.40 mm. (Table 1). The length of the dissection ranged from 765 mm on the right and 3-62 mm on the patients left side. The mean distance from the TE groove was 4.28 mm on the right side with a range of 1-14 mm. On the left the mean distance was 4.09 mm with a ...
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عنوان ژورنال:
international journal of preventive medicineجلد ۴، شماره ۲، صفحات ۲۳۷-۰
کلمات کلیدی
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