Jurnalul de Chirurgie
 Jurnalul de chirurgie
Aparitie trimestriala in a doua luna a trimestrului
Published quarterly in the second month of the quarter
ISSN: 1584 - 9341 Vol.10 Nr.3 - Iulie-Septembrie 2014 | luni, 22 aprilie 2019
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
English
British Flag| Romana Romanian Flag
 
Creditare EMC
Colegiul Medicilor
Va invitam sa va inregistrati/abonati la Jurnalul de chirurgie pentru a beneficia de creditare EMC
User

Parola

Tine minte
Ti-ai uitat parola?
Syndicate

Advertisement

Elmed

Estima

Liamed

Listare E-mail

ANATOMICAL PRINCIPLES BEHIND PRESERVATION OF LARYNGEAL NERVES DURING THYROIDECTOMY
O. Fabian, Emilia Pătruţ, I. Şimon, V. Muntean
Surgery Clinic IV
„Iuliu Haţieganu” University of Medicine and Pharmacy Cluj-Napoca
Jurnalul de chirurgie 2011; 7 (3): 460-475
Full text:
Format PDF (Română/Romanian)

Abstract:

This paper presents the anatomical principles behind preservation of inferior laryngeal nerve and of the external branch of superior laryngeal nerve during thyroidectomy. The embryological development of thyroid and recurrent laryngeal nerves explains the constant relationship between Zuckerkandl’s tuberculum and the recurrent laryngeal nerve, while anomalies in development of the aortic arches explain the presence of rare anatomical variants, with a high risk of nerve injury, of non-recurrent course of the inferior laryngeal nerve. Good knowledge of the relationship between the external branch of superior laryngeal nerve and the superior thyroid artery makes possible to avoid transection of this branch during ligature around superior thyroid artery and vein. Anatomical landmarks used to identify the recurrent laryngeal nerve (tracheo-oesophageal sulcus, the cross-over with the inferior thyroid artery, Berry’s ligament, Zuckerkandl’s tuberculum) and variations in the extra-laryngeal branching of the nerve are discussed based on data from the literature. The anatomical variants when the inferior laryngeal nerve doesn’t have a recurrent course are also discussed.

KEY WORDS: RECURRENT NERVE, EXTERNAL BRANCH OF SUPERIOR LARYNGEAL NERVE, THYROIDECTOMY

Correspondence to: Fabian Ovidiu, MD, PhD, CF University Hospital Cluj-Napoca, Surgery Clinic IV, str. Republicii, no 18, cod 400015, e-mail:



: Creative Commons License
Jurnalul de chirurgie [Journal of Surgery] by Editorial Board, Department of Surgery University of Medicine and Pharmacy Iasi, E. Tarcoveanu, R. Moldovanu is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
Based on a work at www.jurnaluldechirurgie.ro.