Il nervo laringeo inferiore non ricorrente: Anatomia, incidenza e considerazioni chirurgiche

Translated title of the contribution: Non-recurrent inferior laryngeal nerve: Anatomy, frequency and surgical considerations

C. Spartà, M. L. Cossu, E. Fais, M. Palermo, F. Cossu, M. Ruggiu, G. Noya

Research output: Contribution to journalArticle

Abstract

Aim. Systematic exposure and isolation of the inferior laryngeal nerve in thyroid surgery is a secure method to prevent complications. The knowledge of the nerve anatomy and its anomalies is essential to reduce laryngeal nerve injuries. By a re-examination of literature we underline the importance and some particular anatomical aspects of the anomalies which, even if rare, present an incidence of about 1%. Methods. From January 1995 to December 2002 in our hospital we performed 299 interventions for thyroid diseases: total thyroidectomy (254 cases), partial thyroidectomy (45 cases). In 2 cases we observed a high variant (type I) of non recurrent laryngeal nerve. Results. The global incidence of non recurrent laryngeal nerve was 0.66% (2/299 operations) and 0.72% if we consider the explorations of the cervical right side (2/274) where this anomaly is more frequent. The incidence of nerve injuries was 2/299 (0.66%); we had no complications in the 2 cases of non recurrent nerve observed. Conclusion. Our experience in thyroid surgery confirms the common opinion that only the knowledge of the laryngeal nerve anatomy and the awareness of its anomalies, associated to the systematic exposure of the nerve during surgery can prevent surgical injuries.

Translated title of the contributionNon-recurrent inferior laryngeal nerve: Anatomy, frequency and surgical considerations
Original languageItalian
Pages (from-to)555-561
Number of pages7
JournalMinerva Chirurgica
Volume59
Issue number6
Publication statusPublished - 2004

ASJC Scopus subject areas

  • Surgery

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  • Cite this

    Spartà, C., Cossu, M. L., Fais, E., Palermo, M., Cossu, F., Ruggiu, M., & Noya, G. (2004). Il nervo laringeo inferiore non ricorrente: Anatomia, incidenza e considerazioni chirurgiche. Minerva Chirurgica, 59(6), 555-561.