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2015 | 87 | 7 | 336-339
Tytuł artykułu

Non-Recurrent Laryngeal Nerve

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
The aim of the study was to assess the frequency of non-recurrent laryngeal nerves (Non-RLN). Material and methods. A total of 6110 patients were operated in our hospital between 1 January 2005 and 31 December 2013 for various goiters (5429) and various types of hyperparathyroidism (618). Laryngeal nerve was exposed during operation in 1700 patients from superior aperture of the chest to superior aperture of the larynx. Identification process of RLN was started with dissecting inferior thyroid artery (ITA) and its junction with the nerve. Then main trunk of the nerve was exposed backwards till the region of superior aperture of the chest together with the end portion till the nerve outlet to the larynx. Results. In the group of 1700 patients, RLN was exposed bilaterally in 1400 (82.4%) and unilaterally in 300 (17.6%). In the group of 3100 dissected RLNs the course of RLN was observed on the right side in 1710 patients and on the left in 1390. Irreversible nature RLN was shown in four cases (0.1%) – four women (02%) aged 42-55 (mean 49.3) – three operated for non-toxic nodular goiter and one for primary hyperparathyroidism. Each time the Non-RLN was seen on the right side. The other patients manifested recurrent character RLN. Moreover, interstitial course of RLN was found on the left side in one man. Conclusion. Non recurrent laryngeal nerve is a rare anatomical variation, occurring more frequently on the right side. Surgeon during surgery of the thyroid and parathyroid glands should be aware of its existence to avoid damage.
Słowa kluczowe
Wydawca
Rocznik
Tom
87
Numer
7
Strony
336-339
Opis fizyczny
Daty
wydano
2015-07-01
otrzymano
2015-05-31
online
2015-09-07
Twórcy
  • Silesian Medical University in Katowice and Department of General and Endocrinological Surgery, Hospital No 2 in BytomKierownik: prof. dr hab. , gregor6007@onet.eu
  • Silesian Medical University in Katowice and Department of General and Endocrinological Surgery, Hospital No 2 in BytomKierownik: prof. dr hab.
  • Silesian Medical University in Katowice and Department of General and Endocrinological Surgery, Hospital No 2 in BytomKierownik: prof. dr hab.
  • Silesian Medical University in Katowice and Department of General and Endocrinological Surgery, Hospital No 2 in BytomKierownik: prof. dr hab.
  • Silesian Medical University in Katowice and Department of General and Endocrinological Surgery, Hospital No 2 in BytomKierownik: prof. dr hab.
  • Silesian Medical University in Katowice and Department of General and Endocrinological Surgery, Hospital No 2 in BytomKierownik: prof. dr hab.
Bibliografia
  • 1. Skrzypek J, Łabudziński Z, Paliga M i wsp.: Wskazania do odsłaniania nerwów krtaniowych wstecznych podczas operacji wola. Ann Acad Med Siles 1989, 135-38.
  • 2. Simon D, Lassau M, Schmidt-Wilcke P et al.: Intraoperative complications of neck surgery. Chirurg 2012; 83: 626-32.
  • 3. Bergenfelz A, Jansson S, Kristoffersson A et al.: Complications to thyroid surgery: results as reported in a database from a multicenter audit comprising 3,660 patients. Langenbecks Arch Surg 2008; 393: 667-73.
  • 4. Paluszkiewicz R, Krawczyk M, Frączek M et al.: Early complication of thyroid surgery. Chir Pol 2002; 4: 27-31.
  • 5. Skrzypek J, Podwiński A: Powikłania śródoperacyjne i zapobieganie im w czasie leczenia chirurgicznego wola. Pol Przeg Chir 1991; 63: 1335-41.
  • 6. Lee YS, Son EJ, Chang HS et al.: Computed tomography is useful for preoperative identification of nonrecurrent laryngeal nerve in thyroid cancer patients. Otolaryngol Head Neck Surg 2011; 145: 204-07.
  • 7. Toniato A, Mazzarotto R, Piotto A et al.: Identification of the nonrecurrent laryngeal nerve during thyroid surgery: 20-year experience. World J Surg 2004; 28: 659-61.
  • 8. Ardito G, Revelli L, D'Alatri L et al.: Revisited anatomy of the recurrent laryngeal nerves. Am J Surg 2004,187: 249-53.
  • 9. Kaisha W, Wobenjo A, Saidi H: Topography of the recurrent laryngeal nerve in relation to the thyroid artery, Zuckerkandl tubercle, and Berry ligament in Kenyans. Clin Anat 2011; 24: 853-57.
  • 10. Makay O, Icoz G, Yilmaz M et al.: The recurrent laryngeal nerve and the inferior thyroid artery--anatomical variations during surgery. Langenbecks Arch Surg 2008; 393: 681-85.
  • 11. Julien N, Mosnier I, Bozorg Grayeli A et al.: Intraoperative laryngeal nerve monitoring during thyroidectomy and parathyroidectomy: A prospective study. Eur Ann Otorhinolaryngol Head Neck Dis 2012; 129: 69-76.
  • 12. Mahmodlou R, Aghasi MR, Sepehrvand N: Identifying the Non-recurrent Laryngeal Nerve: Preventing a Major Risk of Morbidity During Thyroidectomy. Int J Prev Med 2013; 4: 237-40.
  • 13. Page C, Monet P, Peltier J et al.: Non-recurrent laryngeal nerve related to thyroid surgery: report of three cases. J Laryngol Otol 2008; 122: 757-61.
  • 14. Toniato A, Merante Boschin I, Pagetta C et al.: A “pilot light” of the right non-recurrent laryngeal nerve. Acta Otorhinolaryngol Ital 2010; 30: 107-09.
  • 15. Lee MS, Lee UY, Lee JH et al.: Relative direction and position of recurrent laryngeal nerve for anatomical configuration. Surg Radiol Anat 2009; 31: 649-55.
  • 16. Iacobone M, Viel G, Zanella S et al.: The usefulness of preoperative ultrasonographic identification of nonrecurrent inferior laryngeal nerve in neck surgery. Langenbecks Arch Surg 2008; 393: 633-38.
  • 17. Defechereux T, Albert V, Alexandre J et al.: The inferior non recurrent laryngeal nerve: A major surgical risk during thyroidectomy. Acta Chir Belg 2000; 100: 62-67.
  • 18. Barczyński M, Konturek A, Cichoń S: Randomized clinical trial of visualization versus neuromonitoring of recurrent laryngeal nerves during thyroidectomy. Br J Surg 2009; 96(3): 240-46.
  • 19. Page C, Peltier J, Charlet L et al.: Superior approach to the inferior laryngeal nerve in thyroid surgery: anatomy, surgical technique and indications. Surg Radiol Anat 2006; 28(6): 631-36.
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_1515_pjs-2015-0066
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