A Hazard of Thyroidectomy [<i>Summary</i>]

Humphreys, J. W.

doi:10.1177/003591577206500219

Cited by 5 publications

(2 citation statements)

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“…identified 7 cases of a non-RLN on the right side during 1000 thyroidectomies over a 20-year period. Humphrey 16 reported a 0.68 per cent incidence of this variation. The incidence of an aberrant subclavian artery identified on CT images in our study population is typical.…”

Section: Discussionmentioning

confidence: 92%

Characteristic travelling patterns of non-recurrent laryngeal nerves

2014

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Section: Discussionmentioning

confidence: 92%

Characteristic travelling patterns of non-recurrent laryngeal nerves

2014

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“…In a review of 1817 thyroidectomies, Stewart et al 4 found six NRLNs for an occurrence of 0.003%. Humphreys, 5 in a separate study, identified 11 NRLNs in 1615 patients (0.007%).…”

Section: Discussionmentioning

confidence: 96%

The Anomaly of Nonrecurrent Laryngeal Nerve: Identification and Management

Cannon

1999

Otolaryngol.--head neck surg.

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There is no greater nemesis for the thyroid surgeon than difficulty in localizing the recurrent laryngeal nerve (RLN). An unusual but important cause of this problem is the nonrecurrent laryngeal nerve (NRLN). The NRLN is vulnerable during thyroid surgery, with nerve damage potentially resulting in permanent vocal cord paralysis.The NRLN arises on the right side of the neck and is associated with malformation of the aortic arch. Preoperative chest x-ray films, therefore, are a valuable adjunct in identifying patients who may have laryngeal nerve anomaly. Additional studies that may be useful are barium swallow and digital subtraction and angiography in selected patients.Often the NRLN will be identified only at the time of surgery when the RLN triangle is discovered to be empty. In the case presented, identification of this aberrant nerve was greatly facilitated by use of a nerve-integrity monitor.A review of the relevant anatomy and embryology of NRLN is presented along with a survey of useful adjunctive studies to identify this anomaly. A protocol for surgical management is also recommended. CASE REPORTA 32-year-old man underwent thyroid lobectomy and isthmusectomy for a 2 × 2 cm, cold, right-sided thyroid nodule nonresponsive to suppressive therapy. The patient had no symptoms of dysphagia. A preoperative chest x-ray film was normal. A fine-needle aspiration biopsy before treatment had not shown evidence of neoplasm. At the time of surgery, the RLN triangle was found to be empty. Careful dissection in the From the Head & Neck Surgical Group.

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Diseases of the Ninth, Tenth, Eleventh, and Twelfth Cranial Nerves

Thomas¹

2005

Peripheral Neuropathy

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A Hazard of Thyroidectomy [Summary]

Cited by 5 publications

References 1 publication

Characteristic travelling patterns of non-recurrent laryngeal nerves

Characteristic travelling patterns of non-recurrent laryngeal nerves

The Anomaly of Nonrecurrent Laryngeal Nerve: Identification and Management

Diseases of the Ninth, Tenth, Eleventh, and Twelfth Cranial Nerves

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