Nonrecurrent laryngeal nerves: Anatomic considerations during thyroid and parathyroid surgery

Zan Mra, Mark Wax

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Purpose: In head and neck surgery, damage to the recurrent laryngeal nerve (RLN) during thyroid surgery is the most common iatrogenic cause of vocal cord paralysis. Identification of the RLNs and meticulous surgical technique can significantly decrease the incidence of this complication. Nonrecurrent RLNs (NRRLNs) are exceedingly rare. Surgeons need to be aware of their position to avoid damage to them. Materials and Methods: A retrospective review of 513 RLN exposures over a 7-year period was performed. Results: Two NRRLNs were encountered, for an incidence of 0.39%. Conclusion: NRRLNs are rare. Awareness of their existence will prevent the Surgeon from accidentally severing one if it is encountered during routine thyroid or parathyroid surgery.

Original languageEnglish (US)
Pages (from-to)91-95
Number of pages5
JournalAmerican Journal of Otolaryngology - Head and Neck Medicine and Surgery
Volume20
Issue number2
DOIs
StatePublished - Mar 1999

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Laryngeal Nerves
Recurrent Laryngeal Nerve
Thyroid Gland
Vocal Cord Paralysis
Incidence
Neck
Head
Surgeons

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

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title = "Nonrecurrent laryngeal nerves: Anatomic considerations during thyroid and parathyroid surgery",
abstract = "Purpose: In head and neck surgery, damage to the recurrent laryngeal nerve (RLN) during thyroid surgery is the most common iatrogenic cause of vocal cord paralysis. Identification of the RLNs and meticulous surgical technique can significantly decrease the incidence of this complication. Nonrecurrent RLNs (NRRLNs) are exceedingly rare. Surgeons need to be aware of their position to avoid damage to them. Materials and Methods: A retrospective review of 513 RLN exposures over a 7-year period was performed. Results: Two NRRLNs were encountered, for an incidence of 0.39{\%}. Conclusion: NRRLNs are rare. Awareness of their existence will prevent the Surgeon from accidentally severing one if it is encountered during routine thyroid or parathyroid surgery.",
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AU - Wax, Mark

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N2 - Purpose: In head and neck surgery, damage to the recurrent laryngeal nerve (RLN) during thyroid surgery is the most common iatrogenic cause of vocal cord paralysis. Identification of the RLNs and meticulous surgical technique can significantly decrease the incidence of this complication. Nonrecurrent RLNs (NRRLNs) are exceedingly rare. Surgeons need to be aware of their position to avoid damage to them. Materials and Methods: A retrospective review of 513 RLN exposures over a 7-year period was performed. Results: Two NRRLNs were encountered, for an incidence of 0.39%. Conclusion: NRRLNs are rare. Awareness of their existence will prevent the Surgeon from accidentally severing one if it is encountered during routine thyroid or parathyroid surgery.

AB - Purpose: In head and neck surgery, damage to the recurrent laryngeal nerve (RLN) during thyroid surgery is the most common iatrogenic cause of vocal cord paralysis. Identification of the RLNs and meticulous surgical technique can significantly decrease the incidence of this complication. Nonrecurrent RLNs (NRRLNs) are exceedingly rare. Surgeons need to be aware of their position to avoid damage to them. Materials and Methods: A retrospective review of 513 RLN exposures over a 7-year period was performed. Results: Two NRRLNs were encountered, for an incidence of 0.39%. Conclusion: NRRLNs are rare. Awareness of their existence will prevent the Surgeon from accidentally severing one if it is encountered during routine thyroid or parathyroid surgery.

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