Original Article

Efficient, effective, safe procedure to identify nonrecurrent inferior laryngeal nerve during thyroid surgery

Corresponding Author

Akihito Watanabe MD, PhD

Department of Otolaryngology – Head and Neck Surgery, Keiyukai Sapporo Hospital, Sapporo, Japan

Corresponding author: A. Watanabe, Department of Otolaryngology, Keiyukai Sapporo Hospital, Kita 1-1, Hondori 14-chome, Shiroishi-ku, Sapporo 003–0027 Japan. E-mail: [email protected]Search for more papers by this author

Masanobu Taniguchi MD,

Masanobu Taniguchi MD

Department of Otolaryngology – Head and Neck Surgery, Keiyukai Sapporo Hospital, Sapporo, Japan

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Yuki Kimura MD,

Yuki Kimura MD

Department of Otolaryngology – Head and Neck Surgery, Keiyukai Sapporo Hospital, Sapporo, Japan

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Suguru Ito BS,

Suguru Ito BS

Division of Voice Rehabilitation, Keiyukai Sapporo Hospital, Sapporo, Japan

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Masao Hosokawa MD,

Masao Hosokawa MD

Department of Surgery, Keiyukai Sapporo Hospital, Japan

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Shigeyuki Sasaki MD, PhD,

Shigeyuki Sasaki MD, PhD

Health Science University of Hokkaido, Ishikari-Tobetsu, Japan

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Akihito Watanabe MD, PhD,

Corresponding Author

Akihito Watanabe MD, PhD

Department of Otolaryngology – Head and Neck Surgery, Keiyukai Sapporo Hospital, Sapporo, Japan

Masanobu Taniguchi MD,

Masanobu Taniguchi MD

Department of Otolaryngology – Head and Neck Surgery, Keiyukai Sapporo Hospital, Sapporo, Japan

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Yuki Kimura MD,

Yuki Kimura MD

Department of Otolaryngology – Head and Neck Surgery, Keiyukai Sapporo Hospital, Sapporo, Japan

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Suguru Ito BS,

Suguru Ito BS

Division of Voice Rehabilitation, Keiyukai Sapporo Hospital, Sapporo, Japan

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Masao Hosokawa MD,

Masao Hosokawa MD

Department of Surgery, Keiyukai Sapporo Hospital, Japan

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Shigeyuki Sasaki MD, PhD,

Shigeyuki Sasaki MD, PhD

Health Science University of Hokkaido, Ishikari-Tobetsu, Japan

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First published: 09 December 2014

https://doi.org/10.1002/hed.23932

Citations: 16

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Abstract

Background

The nonrecurrent inferior laryngeal nerve (NRILN) is always associated with the aberrant subclavian artery. CT images can detect this vascular anomaly, which predicts an NRILN. The purpose of this study was to report our procedure to identify the NRILN in patients with the aberrant subclavian artery.

Methods

Four of 730 patients undergoing thyroid operation in our hospital were preoperatively diagnosed with aberrant subclavian artery by CT of the neck. To avoid vocal cord paralysis, we approached the vagal nerve first before dissecting the paratracheal region to discover the separation point of the NRILN from the vagal nerve.

Results

The NRILN was identified without difficulty in all 4 patients. No patients showed vocal cord paralysis.

Conclusion

Approaching the vagal nerve first before dissecting the paratracheal region is an efficient, effective, and safe procedure to identify an NRILN in patients who are preoperatively diagnosed as having the aberrant subclavian artery. © 2015 Wiley Periodicals, Inc. Head Neck 38: 573–577, 2016

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Volume38, Issue4

April 2016

Pages 573-577

Efficient, effective, safe procedure to identify nonrecurrent inferior laryngeal nerve during thyroid surgery

Abstract

Background

Methods

Results

Conclusion

REFERENCES

Citing Literature

References

Information

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Efficient, effective, safe procedure to identify nonrecurrent inferior laryngeal nerve during thyroid surgery

Abstract

Background

Methods

Results

Conclusion

REFERENCES

Citing Literature

References

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