Identifying Recurrent Laryngeal Nerve in Thyroid Surgery Using Relationship with Superior Parathyroid Gland and Tubercle of Zuckerkandl
Introduction: Recurrent laryngeal nerves (RLN) are particularly prone to injury during thyroid surgeries due to its intimate relationship and proximity with the gland. Zuckerkandl’s tubercle (ZT) helps in preserving RLN intra operative. Material and Methods: A prospective study for identifying RL...
| Principais autores: | , , , |
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| Formato: | Artigo |
| Idioma: | English |
| Publicado em: |
The Association of Otolaryngologists of India, West Bengal
2015-12-01
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| coleção: | Bengal Journal of Otolaryngology and Head Neck Surgery |
| Assuntos: | |
| Acesso em linha: | https://bjohns.in/journal3/index.php/bjohns/article/view/55 |
| _version_ | 1827334316507529216 |
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| author | Somesh Mozumder Shirish Dubey Aniruddha Dam Anup Kumar Bhowmick |
| author_facet | Somesh Mozumder Shirish Dubey Aniruddha Dam Anup Kumar Bhowmick |
| author_sort | Somesh Mozumder |
| collection | DOAJ |
| description | Introduction: Recurrent laryngeal nerves (RLN) are particularly prone to injury during thyroid surgeries due to its intimate relationship and proximity with the gland. Zuckerkandl’s tubercle (ZT) helps in preserving RLN intra operative.
Material and Methods: A prospective study for identifying RLN in thyroid surgery using relationship with superior parathyroid gland and tubercle of Zuckerkandl was conducted on 50 thyroidectomy patients between August 2013 and February 2014.
Results: In all cases ZT was identified. Temporary paralysis of RLN was seen in 3 (6%) cases and permanent paralysis in 2 (4%) of cases.
Discussion: The site of greatest risk during thyroidectomy to the RLN is in the last 2-3 cm extralaryngeal course of the nerve. Relationship of recurrent laryngeal nerve with superior parathyroid gland and tubercle of Zukerkandl (ZT) is known.
Conclusion: Use of ZT and superior parathyroids as a landmark allows safe dissection of RLN. |
| first_indexed | 2024-03-07T17:52:38Z |
| format | Article |
| id | doaj.art-46207fb9cf144cc1825a45c7c6bc5cdd |
| institution | Directory Open Access Journal |
| issn | 2395-2407 |
| language | English |
| last_indexed | 2024-03-07T17:52:38Z |
| publishDate | 2015-12-01 |
| publisher | The Association of Otolaryngologists of India, West Bengal |
| record_format | Article |
| series | Bengal Journal of Otolaryngology and Head Neck Surgery |
| spelling | doaj.art-46207fb9cf144cc1825a45c7c6bc5cdd2024-03-02T13:35:35ZengThe Association of Otolaryngologists of India, West BengalBengal Journal of Otolaryngology and Head Neck Surgery2395-24072015-12-0123310.47210/bjohns.2015.v23i3.55Identifying Recurrent Laryngeal Nerve in Thyroid Surgery Using Relationship with Superior Parathyroid Gland and Tubercle of ZuckerkandlSomesh Mozumder0Shirish Dubey1Aniruddha Dam2Anup Kumar Bhowmick3Chittaranjan National Cancer Institute Kolkata. 37,S.P.Mukherjee Road,Kolkata-700 026. West Bengal, INDIAChittaranjan National Cancer Institute Kolkata. 37,S.P.Mukherjee Road,Kolkata-700 026. West Bengal, INDIAChittaranjan National Cancer Institute Kolkata. 37,S.P.Mukherjee Road,Kolkata-700 026. West Bengal, INDIAChittaranjan National Cancer Institute Kolkata. 37,S.P.Mukherjee Road,Kolkata-700 026. West Bengal, INDIAIntroduction: Recurrent laryngeal nerves (RLN) are particularly prone to injury during thyroid surgeries due to its intimate relationship and proximity with the gland. Zuckerkandl’s tubercle (ZT) helps in preserving RLN intra operative. Material and Methods: A prospective study for identifying RLN in thyroid surgery using relationship with superior parathyroid gland and tubercle of Zuckerkandl was conducted on 50 thyroidectomy patients between August 2013 and February 2014. Results: In all cases ZT was identified. Temporary paralysis of RLN was seen in 3 (6%) cases and permanent paralysis in 2 (4%) of cases. Discussion: The site of greatest risk during thyroidectomy to the RLN is in the last 2-3 cm extralaryngeal course of the nerve. Relationship of recurrent laryngeal nerve with superior parathyroid gland and tubercle of Zukerkandl (ZT) is known. Conclusion: Use of ZT and superior parathyroids as a landmark allows safe dissection of RLN.https://bjohns.in/journal3/index.php/bjohns/article/view/55ThyroidectomyRecurrent Laryngeal NerveParathyroid Glands |
| spellingShingle | Somesh Mozumder Shirish Dubey Aniruddha Dam Anup Kumar Bhowmick Identifying Recurrent Laryngeal Nerve in Thyroid Surgery Using Relationship with Superior Parathyroid Gland and Tubercle of Zuckerkandl Bengal Journal of Otolaryngology and Head Neck Surgery Thyroidectomy Recurrent Laryngeal Nerve Parathyroid Glands |
| title | Identifying Recurrent Laryngeal Nerve in Thyroid Surgery Using Relationship with Superior Parathyroid Gland and Tubercle of Zuckerkandl |
| title_full | Identifying Recurrent Laryngeal Nerve in Thyroid Surgery Using Relationship with Superior Parathyroid Gland and Tubercle of Zuckerkandl |
| title_fullStr | Identifying Recurrent Laryngeal Nerve in Thyroid Surgery Using Relationship with Superior Parathyroid Gland and Tubercle of Zuckerkandl |
| title_full_unstemmed | Identifying Recurrent Laryngeal Nerve in Thyroid Surgery Using Relationship with Superior Parathyroid Gland and Tubercle of Zuckerkandl |
| title_short | Identifying Recurrent Laryngeal Nerve in Thyroid Surgery Using Relationship with Superior Parathyroid Gland and Tubercle of Zuckerkandl |
| title_sort | identifying recurrent laryngeal nerve in thyroid surgery using relationship with superior parathyroid gland and tubercle of zuckerkandl |
| topic | Thyroidectomy Recurrent Laryngeal Nerve Parathyroid Glands |
| url | https://bjohns.in/journal3/index.php/bjohns/article/view/55 |
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