Non-recurrent laryngeal nerve.

نویسندگان

  • G R Stewart
  • J C Mountain
  • B P Colcock
چکیده

AIMS The paper draws attention to the importance of rare, but important anatomical variety of nervus laryngeus recurrens, s.c. nervus laryngeus non-recurrens, for making thyroidectomy safely. Possible differences in the course of the nerve and the way of preparing the gland for minimizing the peroperation damage are presented. PATIENTS Three cases out of 1,200 operations on thyroid gland (0.25%) had the anatomical deviation described. RESULTS The nerve was saved from peroperation damage in two patients with nervus laryngeus recurrens. The third patient with this deviation ended up with permanent unilateral paralysis of the nerve, which indicated erroneous evaluation of nerve branches. CONCLUSIONS Possible occurrence of rare varieties of nervus laryngeus recurrens point out necessary routine search and careful dissection during thyroidectomy. The diagnosis of nervus laryngeus non-recurrens is not possible in most cases. This contribution draws attention to basic operation procedures, which protect not only nervus laryngeus recurrens in its typical position, but also its varieties such as nervus laryngeus non-recurrens.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Comparison of the Frequency of Recurrent Laryngeal Nerve Injury with and without Exploration of the Nerve in Thyroidectomy

Background & Aims: Surgeons are not willing to participate in thyroid surgeries due to dangerous, although rare, complications of the procedure. Post thyroidectomy complications are divided in early and late onset; hypocalcemia, bleeding, thyroid storm and recurrent laryngeal nerve (RLN) injury are the most important ones. This study was performed to compare the frequency of recurrent laryngeal...

متن کامل

Unilateral Recurrent Laryngeal and Hypoglossal Nerve Paralysis Following Rhinoplasty: A Case Report and review of Articles

Introduction: Injury to cranial nerves IX, X, and XII is a known complication of laryngoscopy and intubation. Here we present a patient with concurrent hypoglossal and recurrent laryngeal nerve paralysis after rhinoplasty. Case Report: The patient was a 27-year-old woman who was candidate for rhinoplastic surgery. The next morning after the operation, the patient complained of dysphonia and a s...

متن کامل

Recurrent Laryngeal Nerve Paralysis in a Patient with Primary Thyroid Tuberculosis (Report of One Case)

Vocal cords paralysis is not a rare entity and is usually caused by malignant thyroid tomors, and major thyroid & neck surgeries, nontheless it has some unusual and even idiopathic causes as well. This is a report of a case with the primary tuberculosis of thyroid gland which has been confirmed both pathologicaly and microbiologically. The lesion was on the same side of paralysis and had advanc...

متن کامل

Non-recurrent laryngeal nerve.

Injury to the recurrent laryngeal nerve is a serious complication in thyroid and parathyroid surgery. The anatomy of the recurrent laryngeal nerve is variable. Non-recurrent nerve is a very rare variation of the inferior laryngeal nerve. Because of the anatomical variations of the nerve, preservation of the nerve is the optimal strategy during surgery. In this case report, we present a non-recu...

متن کامل

Two cases of non-recurrent laryngeal nerve: routine nerve exploration in total thyroidectomy.

Recurrent laryngeal nerve injury is one of the main complications of thyroidectomy. Since variability in the course of the nerve increases the risk of injury, routine nerve exploration is recommended. In this report, we present two cases of non-recurrent laryngeal nerve found during total thyroidectomy performed for benign pathologies. Total thyroidectomy was performed on two female patients (5...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Rozhledy v chirurgii : mesicnik Ceskoslovenske chirurgicke spolecnosti

دوره 83 2  شماره 

صفحات  -

تاریخ انتشار 1972