Anatomy of recurrent laryngeal nerve during thyroid surgery.
- Author:
Hung DAI
;
Qingquan HUA
;
Yang JIANG
;
Jianfei SHENG
- Publication Type:Journal Article
- MeSH:
Arteries;
Cranial Nerve Diseases;
etiology;
prevention & control;
Dissection;
Humans;
Postoperative Period;
Recurrent Laryngeal Nerve;
Retrospective Studies;
Thyroid Gland;
surgery;
Thyroidectomy;
Vocal Cord Paralysis
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2014;28(24):1925-1930
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To study the anatomic characteristics of recurrent laryngeal nerve during thyroid surgery.
METHOD:A retrospective review of surgical data of 307 patients undertook thyroid surgery was conducted.
RESULT:Total 342 recurrent laryngeal nerves were identified during the surgery(184 on the right side, left 158). 215 (62.9%) nerves were deep to the inferior thyroid artery, 106(31.0%)were superficial to the artery, 21(7.5%) were between the arterial branches. A nerve bifurcation was found in 203(59.4%). None of nerve bifurcation was found in 136(39.8%). 3(0.9%)were confirmed to hold non-recurrent laryngeal nerves during operations. No patient showed permanent laryngeal recurrent nerve paralysis postoperatively.
CONCLUSION:The careful dissection and protection of the recurrent laryngeal nerve was an effective method to prevent its injury during thyroid surgery.
