We report two cases of a non-recurrent right inferior laryngeal nerve; per operative discovery during thyroidectomy. Through these cases, we highlight the clinical and surgical implications by fi...

BACKGROUND Retained oesophageal foreign bodies must be urgently removed to prevent potentially serious complications. Recurrent laryngeal nerve palsy is rare and has not been reported in association with a foreign body in the thoracic oesophagus. CASE PRESENTATION We present a case of a dental plate in the thoracic oesophagus that caused high dysphagia. Delayed diagnosis led to a recurrent la...

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...

Introduction The outcome of thyroid surgery is usually assessed according to two major complications: recurrent laryngeal nerve paralysis and hypoparathyroidism. The purpose of the study was to monitor the outcomes of thyroid surgery using Shewhart control charts, and then to identify possible ways to improve quality by exploring the special causes of variation in the observed complication rate...

PURPOSE Recurrent laryngeal nerve damage remains one of the most devastating complications of thyroid surgery. However, nerve identification is not always easy, and a reliable method to locate nerves intraoperatively is needed. METHODS Thirty consecutive patients were anesthetized for elective thyroid surgery using a standard technique. Indications for surgery covered a broad spectrum of cond...

BACKGROUND The aim of this study was to evaluate the ability of intraoperative neuromonitoring in reducing the postoperative recurrent laryngeal nerve palsy rate by a comparison between patients submitted to thyroidectomy with intraoperative neuromonitoring and with routine identification alone. METHODS Between June 2007 and December 2012, 2034 consecutive patients underwent thyroidectomy by ...

Introduction: Identifying the recurrent laryngeal nerve is the gold standard for reducing injury in thyroidectomy. Objective: To evaluate the usefulness of neuromonitoring in identifying the recurrent laryngeal nerve. Methods: This was a study of 259 recurrent laryngeal nerves at risk during thyroidectomy performed with neuromonitoring (group A: 129 nerves) and without neuromonitoring (control ...

BACKGROUND Both Total and Subtotal Thyroidectomy are correct treatment options for symptomatic Euthyroid Multinodular Goitre. The choice depends upon surgeon's preference due to consideration of disadvantages like permanent hypothyroidism in Total Thyroidectomy and high chances of recurrence in Subtotal Thyroidectomy. Many surgeons believe that there is a higher incidence of Recurrent Laryngeal...

Total thyroidectomy was performed in a 53-year-old male, with Graves-Basedow's disease. At surgery, the vagus nerve was found to be located medially to the carotid artery associated with a non-recurrent laryngeal nerve arising directly from the cervical vagus: this association has never been described in the literature. These results indicate that a medial location of the vagus nerve may be con...

OBJECTIVE The aim of this study was to evaluate the approach of Forensic Medicine Institution for recurrent laryngeal nerve injuries. In addition, parameters that were taken into consideration by Forensic Medicine Institution in the differentiation of complication and malpractice were evaluated. MATERIAL AND METHODS The files of 38 patients, with recurrent laryngeal nerve injury following thy...