SavedAdd your journal

Journals / Journal of Basic and Clinical Health Sciences / 2021 / Cilt: 5 - Sayı: 3

A rare case: Non-recurrent laryngeal nerve

Nadir görülen bir olgu: nonrekürren laringeal sinir

Mehmet ULUŞAHİN
Kadir TOMAS
Mithat Kerim ARSLAN
Pages
218–220
Publication Date
2021-09-20
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Anatomic variations may cause nerve damage; therefore identification and preservation with careful dissection have utmost importance.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Non-recurrent inferior laryngeal nerve (NRLN) is a very rare nerve variation seen during thyroidectomy.
📊
Key Findings & Data:In this paper, we presented a 55-year old female patient with right NRLN identified during operation performed due to multinodular goiter (MNG).
💡
Conclusion & Impact:Anatomic variations may cause nerve damage; therefore identification and preservation with careful dissection have utmost importance.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Inferior · nonrekürren · laringeal sinir

Abstract

Non-recurrent inferior laryngeal nerve (NRLN) is a very rare nerve variation seen during thyroidectomy. Identification and preservation of this nerve is crucial for post-operative life of the patient. In this paper, we presented a 55-year old female patient with right NRLN identified during operation performed due to multinodular goiter (MNG). This presented case was intraoperatively identified as NRLN during right lobe dissection and it was preserved through its course until entrance to the larynx with careful dissection. Patient was discharged at first postoperative day without problem during postoperative monitoring. Anatomic variations may cause nerve damage; therefore identification and preservation with careful dissection have utmost importance.

Özet

Nonrekürren inferior laryngeal sinir (NRLS) tiroidektomi operasyonlarında çok nadir olarak rastlanan bir sinir varyasyonudur. Bu sinirin tanınarak korunması hastanın operasyon sonrası yaşamı için çok önemlidir. Bu yazıda 55 yaşında bayan hastada multinodüler guatr (MNG) nedeni ile yapılan operasyonda tespit edilen sağ NRLS olgusu sunulmuştur. Sunulan vakada sağ lop diseksiyonu sırasında NRLS intraoperatif tanındı ve dikkatlice yapılan diseksiyon ile larinkse giriş yerine kadar korundu. Postoperatif takiplerinde problemi olmayan hasta operasyonun ertesi günü taburcu edildi. Anatomik varyasyonlar sinir hasarına sebep olabilirler; bu nedenle hatırlanmaları ve dikkatli diseksiyon ile korunmaları çok önemlidir.

🔖

Cite This Article

ULUŞAHİN, M., TOMAS, K., ARSLAN, M. K. (2021). A rare case: Non-recurrent laryngeal nerve. Journal of Basic and Clinical Health Sciences, Cilt: 5 - Sayı: 3, 218–220. https://ajindex.com/articles/677076

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (13)

  1. Referans 1- Mra Z, Wax MK. Nonrecurrent laryngeal nerves: anatomic considerations during thyroid and parathyroid surgery. Am J Otolaryngol 1999
  2. 20(2): 91-5. Referans 2- Gurleyik E, Dogan S, Gunal O,Pehlivan M. The rare coincidence: nonrecurrent laryngeal nerve pointed by a Zuckerkandl's tubercle. Case Rep Med 2012
  3. 143049 DOI: https://doi.org/10.1155/2012/143049. Referans 3- Marchesi M, Biffoni M, Faloci C, Nobili Benedetti R, Notari P, Mariotti F, at all. The inferior nonrecurrent laryngeal nerve: a report of 7 cases observed since 1987. G Chir 1999
  4. 21(1-2): 25-8. Referans 4- Sayım NY, Gül F. Two cases of non-recurrent laryngeal nerve: routine nerve exploration in total thyroidectomy. Ulus Cerrahi Derg 2013
  5. 29(1): 33-4. Referans 5- Yetişir F, Özkardeş AB, Dündar HZ, Birkan B, Çiftci AB, Kılıç M. Non-recurrent laryngeal nerve. Ulus Cerrahi Derg 2014
  6. 30(2): 112-4. Referans 6- Henry JF, Audiffret J, Denizot, Plan M. The nonrecurrent inferior laryngeal nerve: review of 33 cases, including two on the left side. Surgery 1988
  7. 104(6): 977-84. Referans 7- Toniato A, Mazzarotto R, Piotto A, Bernante P, Pagetta C, Pelizzo MR. Identification of the nonrecurrent laryngeal nerve during thyroid surgery: 20-year experience. World J Surg 2004
  8. 28(7): 659–61. Referans 8- Skandalakis JE, Skandalakis PN, Skandalakis LJ. Cerrahi anatomive teknik. İkinci baskı, İstanbul, Nobel Tıp Kitapevi 2000. Referans 9- Ardito G, Revelli L, D'Alatri L, Lerro V, Guidi ML, Ardito F. Revisited anatomy of the recurrent laryngeal nerves. Am J Surg 2004
  9. 187(2): 249-53. Referans 10- Iorgulescu R, Bistriceanu I, Badanoiu D, Calin C, Capatana C, Iordache N. Non-recurrent inferior laryngeal nerve: case report and review of the literature. J Med Life 2014
  10. 7(4): 90-4. Referans 11- Yetisir F, Salman AE, Çiftçi B, Teber A, Kiliç M. Efficacy of ultrasonography in identification of non-recurrent laryngeal nerve. Int J Surg 2012
  11. 10(9): 506-9. Referans 12- Pelizzo MR, Toniato A, Gemo G. Zuckerkandl’s tuberculum: an arrow pointing to the recurrent laryngeal nerve (constant anatomical landmark). J Am Coll Surg 1998
  12. 187(3): 333-6. Referans 13- Donatini G, Carnaille B, Dionigi G. Increased detection of non-recurrent inferior laryngeal nerve (NRLN) during thyroid surgery using systematic intraoperative neuromonitoring (IONM). World J Surg 2013
  13. 37(1): 91-3. Referans 14- Jatzko GR, Lisborg PH, Müller MG, Wette VM. Recurrent nerve palsy after thyroid operations--principal nerve identification and a