Intraoperative monitoring of the recurrent laryngeal nerve in thyroid gland surgery

In Thyroid surgery, the two novel approaches are the trans-axillary Robotic thyroidectomy and the trans-oral and sub-chin techniques. During these surgical approaches is mandatory to recognise the Anatomy. The lower laryngeal nerves originate from the X cranial nerve (vagus nerve) and innervate all...

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Main Authors: Niccolo' Fagni, Giacomo Gelati, Cristiana Veltro, Ferdinando Paternostro
Format: Article
Language:English
Published: Firenze University Press 2023-07-01
Series:Infermieristica Journal
Subjects:
Online Access:https://riviste.fupress.net/index.php/if/article/view/1876
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author Niccolo' Fagni
Giacomo Gelati
Cristiana Veltro
Ferdinando Paternostro
author_facet Niccolo' Fagni
Giacomo Gelati
Cristiana Veltro
Ferdinando Paternostro
author_sort Niccolo' Fagni
collection DOAJ
description In Thyroid surgery, the two novel approaches are the trans-axillary Robotic thyroidectomy and the trans-oral and sub-chin techniques. During these surgical approaches is mandatory to recognise the Anatomy. The lower laryngeal nerves originate from the X cranial nerve (vagus nerve) and innervate all the intrinsic muscles of the larynx except for the cricothyroid muscles (which are innervated by the superior laryngeal nerve instead). The "recurring" name is due to the course in the opposite direction to the nerve of origin. Neuro-monitoring of recurrent laryngeal nerves is the most important of the recent technological innovations. However it is of fundamental importance for the operator to remember that this method does not prevent recurrent nerve injury. On the other hand a two stage thyroidrctomy can avoid a tracheostomy thanks to neuro-monitoring.
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spelling doaj.art-21bebffb4447458abecaf3174376b4ac2024-04-17T15:01:43ZengFirenze University PressInfermieristica Journal2785-70182023-07-0122657010.36253/if-18761703Intraoperative monitoring of the recurrent laryngeal nerve in thyroid gland surgeryNiccolo' Fagni0Giacomo Gelati1Cristiana Veltro2Ferdinando Paternostro3Department of Experimental and Clinical Medicine-Section of Anatomy and Histology University of FlorenceDepartment of Experimental and Clinical Medicine-Section of Anatomy and Histology University of FlorenceDepartment of Experimental and Clinical Medicine-Section of Anatomy and Histology University of FlorenceDMSC University of FlorenceIn Thyroid surgery, the two novel approaches are the trans-axillary Robotic thyroidectomy and the trans-oral and sub-chin techniques. During these surgical approaches is mandatory to recognise the Anatomy. The lower laryngeal nerves originate from the X cranial nerve (vagus nerve) and innervate all the intrinsic muscles of the larynx except for the cricothyroid muscles (which are innervated by the superior laryngeal nerve instead). The "recurring" name is due to the course in the opposite direction to the nerve of origin. Neuro-monitoring of recurrent laryngeal nerves is the most important of the recent technological innovations. However it is of fundamental importance for the operator to remember that this method does not prevent recurrent nerve injury. On the other hand a two stage thyroidrctomy can avoid a tracheostomy thanks to neuro-monitoring.https://riviste.fupress.net/index.php/if/article/view/1876thyroid surgeryrecurrent laryngeal nervesneuro-monitoring
spellingShingle Niccolo' Fagni
Giacomo Gelati
Cristiana Veltro
Ferdinando Paternostro
Intraoperative monitoring of the recurrent laryngeal nerve in thyroid gland surgery
Infermieristica Journal
thyroid surgery
recurrent laryngeal nerves
neuro-monitoring
title Intraoperative monitoring of the recurrent laryngeal nerve in thyroid gland surgery
title_full Intraoperative monitoring of the recurrent laryngeal nerve in thyroid gland surgery
title_fullStr Intraoperative monitoring of the recurrent laryngeal nerve in thyroid gland surgery
title_full_unstemmed Intraoperative monitoring of the recurrent laryngeal nerve in thyroid gland surgery
title_short Intraoperative monitoring of the recurrent laryngeal nerve in thyroid gland surgery
title_sort intraoperative monitoring of the recurrent laryngeal nerve in thyroid gland surgery
topic thyroid surgery
recurrent laryngeal nerves
neuro-monitoring
url https://riviste.fupress.net/index.php/if/article/view/1876
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AT giacomogelati intraoperativemonitoringoftherecurrentlaryngealnerveinthyroidglandsurgery
AT cristianaveltro intraoperativemonitoringoftherecurrentlaryngealnerveinthyroidglandsurgery
AT ferdinandopaternostro intraoperativemonitoringoftherecurrentlaryngealnerveinthyroidglandsurgery