Thyroid lesion is strongly associated with recurrent laryngeal nerve palsy. It is because of the close anatomical relationship between the gland on the trachea and the nerve which lies in the tracheoesophageal groove. The recurrent laryngeal nerve can be affected either from the thyroid disease itself or as the complication of thyroidectomy. However, benign thyroid lesion rarely causes recurren...

Thyroid surgeries are the most frequently performed endocrine procedures worldwide. Recurrent laryngeal nerve (RLN) palsy is one of the common and serious complications after thyroid surgery that can diminish the quality of life.[1] While it is generally accepted that direct visualisation of the nerve is the gold standard, intraoperative nerve monitoring (IONM) is being used increasingly as an ...

Anatomy of vagus nerve: The vagus nerve arises from three nuclei located in the medulla of brain. They are (DAT) 1. Nucleus ambiguous (Motor) 2. Nucleus dorsalis 3. Nucleus of tractus solitaries Nucleus ambiguus: Is the motor nucleus of the vagus nerve (upper part give fibres to 9 nerve and lower to 10 th ). The efferent fibers of the dorsal nucleus innervates the involuntary muscles of bronchi...

OBJECTIVE Reoperative thyroid surgery is rare and has a high complication rate. This retrospective cohort study was performed to determine the recurrent laryngeal nerve injury and hypoparathyroidism rates after reoperative thyroid surgery in two university hospitals in Benghazi, Libya. MATERIAL AND METHODS All consecutive patients who underwent reoperative thyroid surgery between January 2002...

BACKGROUND Intraoperative neuromonitoring of the recurrent laryngeal nerve in thyroid surgery facilitates the identification of anatomical structures in cervical endocrine surgery reducing the frequency of vocal cord paralysis. OBJECTIVE To study the normal electrophysiological values of the vague and recurrent laryngeal nerves before and after thyroid surgery. To compare rates of injury of r...

OBJECTIVE To find out the frequency of Zuckerkandl Tubercle (ZT) and the position of recurrent laryngeal nerve with reference to ZK. STUDY DESIGN Cross-sectional observational study. PLACE AND DURATION OF STUDY Surgical Ward-3, Jinnah Postgraduate Medical Centre (JPMC), Karachi, from June 2010 to August 2011. METHODOLOGY Patients having goiter, aged between 12 - 60 years were admitted thr...

OBJECTIVES/HYPOTHESIS Management of unrecognized recurrent laryngeal nerve injury typically entails delayed phonosurgical intervention and laryngeal reinnervation, but in cases of recognized injury, nerve anastomosis has been considered standard management. However, the well-organized outcome analysis of nerve anastomosis has been insufficient. We performed immediate direct anastomosis of recur...