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[Non recurrent laryngeal nerve. Personal experience]. / Il nervo ricorrente che non ricorre. Esperienza personale.
Sciumè, C; Geraci, G; Pisello, F; Li Volsi, F; Facella, T; Licata, A; Modica, G.
Afiliação
  • Sciumè C; Sezione di Chirurgia Generale ad Indirizzo Toracico, Università degli Studi di Palermo, AOUP Paolo Giaccone, Palermo.
G Chir ; 26(11-12): 434-7, 2005.
Article em It | MEDLINE | ID: mdl-16472423
PURPOSE: Damage to the recurrent laryngeal nerve (RLN) during thyroid or parathyroid 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 injuries. PATIENT AND METHODS: A retrospective review of 263 right RLN exposures (and 251 left RNL) over a 5-year period was performed. RESULTS: Two NRRLNs were encountered, for an incidence of 0.39% (0.76% only for right dissection), without anatomic anomalies on the left side. The nerve anomaly was never preoperatively diagnosed. CONCLUSION: NRRLNs are rare and is associated with a right subclavian artery arising from distal aortic arch. Awareness of their existence and correct surgical technique will prevent the surgeon from accidentally lesion of NRRLN one if it is encountered during thyroid or parathyroid surgery.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Nervo Laríngeo Recorrente / Tireoidectomia / Paratireoidectomia / Traumatismos do Nervo Laríngeo / Traumatismos do Nervo Laríngeo Recorrente / Nervos Laríngeos Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Humans Idioma: It Ano de publicação: 2005 Tipo de documento: Article
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Nervo Laríngeo Recorrente / Tireoidectomia / Paratireoidectomia / Traumatismos do Nervo Laríngeo / Traumatismos do Nervo Laríngeo Recorrente / Nervos Laríngeos Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Humans Idioma: It Ano de publicação: 2005 Tipo de documento: Article