Display Settings:

Format

Send to:

Choose Destination
See comment in PubMed Commons below
World J Surg. 2004 Jul;28(7):659-61. Epub 2004 Jun 4.

Identification of the nonrecurrent laryngeal nerve during thyroid surgery: 20-year experience.

Author information

  • 1Surgical Pathology, Department of Medical and Surgical Sciences, Policlinico Universitario, University of Padua, School of Medicine, Via Giustiniani 2, Padua 35128, Italy. giorgiolina@libero.it

Abstract

The nonrecurrent laryngeal nerve, which is rarely observed during thyroidectomy, is at high risk for damage. During a 20-year period 6000 thyroidectomies were performed at our institution, and during these operations inferior laryngeal nerves were routinely identified in all the patients with a standard procedure based on the usual anatomic landmarks. A nonrecurrent laryngeal nerve was observed on the right side in 31 cases (0.51%), with no anatomic anomalies found on the left side. The nerve anomaly was diagnosed preoperatively in five patients. A vocal cord deficit, caused by a nerve lesion, was observed in four cases (12.9%). Our results suggest that the best way to avoid morbidity is routine identification of the nerve. This can be done by carefully identifying all the thyroid structures and being suspicious of the presence of the abnormality when the inferior laryngeal nerve is not found in a classic position.

PMID:
15175898
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Springer
    Loading ...
    Write to the Help Desk