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Journal articles on the topic 'Recurrent laryngeal nerve injury'

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1

Acun, Zeki, Fikret Cinar, Alper Cihan, et al. "Importance of Identifying the Course of the Recurrent Laryngeal Nerve in Total and Near-Total Thyroid Lobectomies." American Surgeon 71, no. 3 (2005): 225–27. http://dx.doi.org/10.1177/000313480507100310.

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In our clinic, near-total thyroidectomy is the principal surgical procedure performed for benign thyroid diseases. We conducted a single-institution study on 176 consecutive patients who underwent near-total thyroidectomy due to various thyroid diseases. We compared the incidence of recurrent laryngeal nerve injury between total and near-total thyroid lobectomy sides in each patient. Our hypothesis was that the incidence of recurrent laryngeal nerve injury after total thyroid lobectomy would be similar to that of near-total thyroid lobectomy when the course of the recurrent laryngeal nerve was
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2

Zhao, Ning, Zhigang Bai, Changsheng Teng, and Zhongtao Zhang. "Learning Curve for Using Intraoperative Neural Monitoring Technology of Thyroid Cancer." BioMed Research International 2019 (February 11, 2019): 1–6. http://dx.doi.org/10.1155/2019/8904736.

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We investigated the learning curve for using intraoperative neural monitoring technology in thyroid cancer, with a view to reducing recurrent laryngeal nerve injury complications. Radical or combined radical surgery for thyroid cancer was performed in 82 patients with thyroid cancer and 147 recurrent laryngeal nerves were dissected. Intraoperative neural monitoring technology was applied and the “four-step method” used to monitor recurrent laryngeal nerve function. When the intraoperative signal was attenuated by more than 50%, recurrent laryngeal nerve injury was diagnosed, and the point and
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3

Cârstea, Silvia, Adriana Elena Nica, and R. Popescu. "NEUROMONITORING THE BRANCHES OF THE RECURRENT NERVE DURING THYROIDECTOMY." Journal of Surgical Sciences 3, no. 2 (2016): 72–75. http://dx.doi.org/10.33695/jss.v3i2.52.

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The lesions of the laryngeal nerves are the most severe long term complications after thyroidectomy. Visual identification of the recurrent laryngeal nerve during thyroid surgery has been recommended in many studies as the golden standard of RLN treatment. The non recurrent laryngeal nerve should always be taken into consideration in order to avoid accidental injury during thyroid surgery. Laryngeal recurrent nerve can be difficult to identify because of rare anatomical variants, extra laryngeal branches, or in complicated thyroid operations, such as voluminous goiter or thyroid cancer. Intrao
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4

Mantalovas, Stylianos, Konstantinos Sapalidis, Vasiliki Manaki, et al. "Surgical Significance of Berry’s Posterolateral Ligament and Frequency of Recurrent Laryngeal Nerve Injury into the Last 2 cm of Its Caudal Extralaryngeal Part(P1) during Thyroidectomy." Medicina 58, no. 6 (2022): 755. http://dx.doi.org/10.3390/medicina58060755.

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Background and Objectives: Recurrent laryngeal nerve injury is one of the major complications of thyroidectomy, with the lateral thyroid ligament (Berry’s ligament) being the most frequent site of nerve injury. Neuromonitoring during thyroidectomy revealed three possible anatomical regions of the recurrent laryngeal nerve P1, P2, and P3. P1 represents the recurrent laryngeal nerve’s caudal extralaryngeal part and is primarily associated with Berry’s ligament. The aim of this systematic review is to identify the anatomical region with the highest risk of injury of the recurrent laryngeal nerve
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5

Dr., Muhammad Adil Mahmood Dr. Hafsa Kneez Dr. Abdul Sattar. "ANALYSIS OF USE OF MANUAL NERVE MONITOR VERSES CONTINUOUS NERVE MONITORING IN TOTAL THYROIDECTOMY IN PAKISTAN." INDO AMERICAN JOURNAL OF PHARMACEUTICAL SCIENCES 05, no. 12 (2019): 17386–89. https://doi.org/10.5281/zenodo.2529696.

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<strong><em>Introduction: </em></strong><em>The role of continuous neuro-monitoring (IONM) of the recurrent laryngeal nerve (RLN) during thyroid surgery is still debatable as most previous studies show no clear-cut evidence that IONM reduces incidences of injury to the recurrent laryngeal nerve. </em> <strong><em>Objectives of the study</em></strong><em>: This study aims at comparing the potential improvement of utilization of manual nerve monitor and continuous nerve monitoring in total thyroidectomy with regards to injury to the recurrent laryngeal nerve. </em> <strong><em>Methodology:</em><
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6

Fleming, J. C., N. Gibbins, P. J. Ingram, and M. Harries. "An anatomical study of the myelination of human laryngeal nerves." Journal of Laryngology & Otology 125, no. 12 (2011): 1263–67. http://dx.doi.org/10.1017/s0022215111001939.

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AbstractObjective:To determine the differences in myelination between the human recurrent laryngeal nerve and superior laryngeal nerve.Methods:Fifteen confirmed laryngeal nerve specimens were harvested from five cadavers. Cross-sections were examined under a photomicroscope and morphometric analysis performed.Results:There was a significantly greater number of myelinated fibres than unmyelinated fibres, in both the recurrent laryngeal nerve (p = 0.018) and the superior laryngeal nerve (p = 0.012). There was a significantly greater number of myelinated fibres in the superior laryngeal nerve, co
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7

Kuprin, Aleksandr A., Viktor Y. Malyuga, Timur A. Britvin, and Ivan O. Abuladze. "Extralaryngeal branching of the recurrent laryngeal nerve. Autopsy case series." Endocrine Surgery 14, no. 4 (2021): 4–18. http://dx.doi.org/10.14341/serg12706.

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Background. The thesis «thyroid surgery is the surgery of the recurrent laryngeal nerve», which was defined in the XX ­century, remains relevant to this day. Thus, despite the use of modern scientific and technological achievements, vocal cord paresis is diagnosed on average in 9.8% patients after thyroid and parathyroid surgery.According to many authors, the main problem which a surgeon encounters is a difficult and sometimes individual anatomy of the recurrent laryngeal nerve. For example, in one study authors identified 28 variants of relationships between the ­recurrent laryngeal nerve and
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8

Wu, Zhen, Changxin Zhou, Xixi Wu, Zixuan Hou, Yuming Yao, and Yongkun Wang. "Systematic Evaluation of Vocal Cord Function is Critical for Thyroid Cancer Patients: A Patient of Left Papillary Thyroid Carcinoma with Left Vocal Cord Paralysis." Journal of Complementary Medicine Research 14, no. 1 (2023): 28. http://dx.doi.org/10.5455/jcmr.2023.14.01.05.

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Temporary or permanent vocal cord paralysis caused by recurrent laryngeal nerve injury is one of the relatively common and serious complications of thyroid surgery. At the same time, there are many reasons for recurrent laryngeal nerve injury. Therefore, the recurrent laryngeal nerve should be paid attention to before, during and after thyroid surgery. A 51-year-old woman was diagnosed with left papillary thyroid carcinoma. Unfortunately, the patient had a history of hoarseness following a patent ductus arteriosus ligation. We operated on her for thyroid cancer. Preoperative electronic laryngo
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9

Fung, K., N. D. Hogikyan, S. B. Heavner, D. Ekbom, and E. L. Feldman. "Development and characterisation of an experimental recurrent laryngeal nerve injury model for the study of viral gene therapy." Journal of Laryngology & Otology 122, no. 5 (2007): 500–505. http://dx.doi.org/10.1017/s0022215107009097.

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AbstractObjectives:To develop and characterise an experimental model of recurrent laryngeal nerve injury for the study of viral gene therapy.Methods:Twenty rats underwent unilateral recurrent laryngeal nerve injury. After vocal fold mobility was observed, larynges were serially sectioned, and immunohistochemical techniques were employed to stain for neurofilament and motor endplates in order for a blinded investigator to determine the percentage of nerve–endplate contact, as a histological indicator of an intact neuromuscular connection.Results:All animal procedures resulted in complete, ipsil
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10

Hong, K. H., H. T. Park, and Y. S. Yang. "Characteristic travelling patterns of non-recurrent laryngeal nerves." Journal of Laryngology & Otology 128, no. 6 (2014): 534–39. http://dx.doi.org/10.1017/s0022215114000978.

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AbstractBackground:The non-recurrent laryngeal nerve is subject to potential injury during thyroid surgery. Intra-operative identification and preservation of this nerve can be challenging. Its presence is associated with an aberrant subclavian artery and the developmental absence of the brachiocephalic trunk. This study aimed to evaluate the incidence of non-recurrent laryngeal nerves and present a new classification system for the course of these nerves.Methods:Non-recurrent laryngeal nerves were identified on the right side in 15 patients who underwent thyroidectomy. The incidence of non-re
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11

Bilal, Hazrat, Shoaib Malik, Zahid Mehmood, et al. "Recurrent Larnygeal Nerve Injury in Endoscopic Hemithyroidectomy." Pakistan Journal of Medical and Health Sciences 16, no. 12 (2023): 881–83. http://dx.doi.org/10.53350/pjmhs20221612881.

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Objective: To find the frequency of recurrent laryngeal nerve damage in endoscopic thyroidectomy. Study design: Cross sectional descriptive study Place &amp; Duration of study: Ward 25, Jinnah Postgraduate Medical Centre, Karachi, Pakistan from January 2018 to January 2021. Methodology: Eighty patients of solitary thyroid nodules who fulfill inclusion criteria were divided alternatively into endoscopic and open hemi thyroidectomy groups. Patients were assessed for recurrent laryngeal nerve injury in the evening and after 24 hours of surgery by quality of voice. Those patients whose voice is no
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12

Choi, Jung bum. "Various communications of laryngeal nerves with literature review." Korean Intraoperative Neuromonitoring Society 4, no. 1 (2024): 71–74. http://dx.doi.org/10.54441/jnn.2024.4.1.71.

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The vagus nerve gives rise to the superior laryngeal nerve (SLN) and recurrent laryngeal nerve (RLN) in the neck. Despite progress in the development of new techniques of head and neck surgeries, laryngeal muscles are often paralyzed postoperatively due to iatrogenic injury to the laryngeal nerves. Therefore, the understanding of the complexity and variability of the anatomy of larynx is important to reduce the risk of nerve injury. And a thorough understanding of the complex anastomoses between the laryngeal nerves is crucial in patients with laryngeal muscle paralysis. In these reasons, we r
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13

Ayerdi, Juan, Sushil K. Gupta, Lawrence N. Sampson, and Narayan Deshmukh. "Recognition of a Non-Recurrent Laryngeal Nerve during Carotid Endarterectomy." Cardiovascular Surgery 10, no. 3 (2002): 206–11. http://dx.doi.org/10.1177/096721090201000304.

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Cranial nerve injury during carotid endarterectomy (CEA), while infrequent, may have serious consequences. The recurrent laryngeal nerve is one of the most commonly injured cranial nerves. Fortunately, most of these injuries are temporary. Anatomic variations in the position of cranial nerves present challenges to surgeons during CEA. Although the occurrence of a non-recurrent laryngeal nerve (NRLN) is rare, proper recognition of this anatomic variation is critical in order to minimize complications. We present a case in which a NRLN was discovered intraoperatively and carefully preserved.
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14

Shrestha, Diva, Deepak Regmi, Sangita Shrestha, and Meera Bista. "Distance of Recurrent Laryngeal Nerve in Relation to Superior Parathyroid Gland During Thyroid Surgery." Journal of Nepal Health Research Council 19, no. 03 (2021): 494–97. http://dx.doi.org/10.33314/jnhrc.v19i3.3495.

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Background: In thyroid surgery, it is essential to identify and preserve recurrent laryngeal nerve to avoid injury to the nerve which will lead to nerve paralysis or paresis. The meticulous dissection of recurrent laryngeal nerve is important for careful identification and preservation of the nerve to prevent post operative vocal cord paresis and hoarseness. Methods: A single centre prospective, cross sectional study was conducted from May 2019 to January 2021 in Department of ENT and Head and Neck surgery in Kathmandu Medical College Teaching Hospital. The data on distance between recurrent l
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15

Fagni, Niccolo', Giacomo Gelati, Cristiana Veltro, and Ferdinando Paternostro. "Intraoperative monitoring of the recurrent laryngeal nerve in thyroid gland surgery." infermieristica journal 2, no. 2 (2023): 65–70. http://dx.doi.org/10.36253/if-1876.

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In Thyroid surgery, the two novel approaches are the trans-axillary Robotic thyroidectomy and the trans-oral and sub-chin techniques.During these surgical approaches is mandatory to recognise the Anatomy. The lower laryngeal nerves originate from the X cranial nerve (vagus nerve) and innervate all the intrinsic muscles of the larynx except for the cricothyroid muscles (which are innervated by the superior laryngeal nerve instead). The "recurring" name is due to the course in the opposite direction to the nerve of origin.Neuro-monitoring of recurrent laryngeal nerves is the most important of th
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16

Gujrathi, Atishkumar B., Harshada S. Kurande, Nishikant Gadpayale, and Yogesh Paikrao. "Identification of recurrent laryngeal nerve: a dilemma in thyroid surgery." International Journal of Otorhinolaryngology and Head and Neck Surgery 7, no. 9 (2021): 1450. http://dx.doi.org/10.18203/issn.2454-5929.ijohns20213278.

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&lt;p class="abstract"&gt;&lt;strong&gt;Background: &lt;/strong&gt;Surgery of the thyroid gland is one of the most common surgical procedures performed. Recurrent laryngeal nerve injury is the most dreaded complication of thyroid surgery. Hence reducing intraoperative injury is of utmost importance. Routine dissection and identification of the recurrent nerve remain controversial.&lt;/p&gt;&lt;p class="abstract"&gt;&lt;strong&gt;Methods:&lt;/strong&gt; This study consists of 70 patients who underwent thyroid surgery. This study was conducted at our institute during the period of 2 years (2018-
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17

Manuel, Nisha S. R., B. Anbumalar, and S. Manisha Raaj. "A Prospective Study on Relation of Inferior Thyroid Artery with Recurrent Laryngeal Nerve at the Base of Thyroid Gland in Tamil Nadu Population." International Journal of Anatomy and Research 10, no. 1 (2022): 8221–25. http://dx.doi.org/10.16965/ijar.2021.190.

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Background: The risk of injuring recurrent laryngeal nerves which can result in voice or swallowing problems can be a major complication during thyroid surgeries. Intraoperative injury to RLN can be an issue and can have a detrimental impact on patients’ quality of life. The incidence of injury to recurrent laryngeal nerve worldwide ranges from 0.5 to 20%. To prevent such surgical complications of thyroid, a detailed anatomy of inferior vascular pedicle (inferior thyroid artery) and its relation to adjacent recurrent laryngeal nerve is required. Aim: The aim of the study was, To find out the v
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18

Abouav, Jacob. "Left Recurrent Laryngeal Nerve Injury." Annals of Thoracic Surgery 44, no. 6 (1987): 676. http://dx.doi.org/10.1016/s0003-4975(10)62167-4.

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19

Phillips, Theodore. "Left Recurrent Laryngeal Nerve Injury." Annals of Thoracic Surgery 44, no. 6 (1987): 676. http://dx.doi.org/10.1016/s0003-4975(10)62168-6.

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20

Weisberg, Noah Kawika, Dan M. Spengler, and James L. Netterville. "Stretch-Induced Nerve Injury as a Cause of Paralysis Secondary to the Anterior Cervical Approach." Otolaryngology–Head and Neck Surgery 116, no. 3 (1997): 317–26. http://dx.doi.org/10.1016/s0194-59989770266-3.

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The anterior approach to the cervical spine, first described 40 years ago, has become a popular and widely used procedure by spine surgeons to expose the anterior vertebral bodies from C3 to T1. A significant complication of this procedure is transient or permanent ipsilateral recurrent laryngeal nerve paralysis. In a previous review at our institution of patients with hoarseness after an anterior cervical approach, 15 of 16 patients demonstrated right-sided paralysis. The asymmetry in the anatomic courses and lengths of the recurrent laryngeal nerves are proposed to place the right recurrent
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21

Dralle, Henning, Antonio Sitges-Serra, Peter Angelos, et al. "Intraoperative Monitoring of the Recurrent Laryngeal Nerve during Thyroidectomy: A Standardized Approach (Part 1)." World Journal of Endocrine Surgery 3, no. 3 (2011): 144–50. http://dx.doi.org/10.5005/jp-journals-10002-1079.

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ABSTRACT One of the most feared complications in thyroid surgery is injury to the superior laryngeal nerve or recurrent laryngeal nerve. Neural identification during surgery is insufficient to assess nerve injury. Intraoperative nerve monitoring of the vagal nerve and recurrent laryngeal nerve during thyroid surgery is a new adjunct designed to allow better identification of nerves at risk and therefore reduce complications related to their injury. This new working tool does not substitute adequate surgical technique but merely provides the surgeon with an adjunct to routine visual identificat
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Lee, Seungho, and Su-jin Kim. "A case of intraoperative neuromonitoring of the recurrent laryngeal nerve during surgery for recurrent thyroid cancer." Korean Intraoperative Neuromonitoring Society 3, no. 1 (2023): 51–55. http://dx.doi.org/10.54441/jnn.2023.3.1.51.

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The recurrent laryngeal nerve is a critical structure that must be carefully preserved during thyroid surgery. Any injury to this nerve can result in severe complications, including hoarseness, aspiration, and respiratory difficulty. Therefore, preserving the recurrent laryngeal nerve during surgery is crucial. In patients with a history of previous thyroid surgery, identification and preservation of the recurrent laryngeal nerve can be more challenging. We report a case of 43-year-old man diagnosed with recurrent papillary thyroid cancer who had previously total thyroidectomy with bilateral c
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Thamizharasan, P., and R. Madanagopal. "Iatrogenic bilateral recurrent laryngeal nerve injury: a retrospective study." International Journal of Otorhinolaryngology and Head and Neck Surgery 4, no. 6 (2018): 1444. http://dx.doi.org/10.18203/issn.2454-5929.ijohns20184357.

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&lt;p class="abstract"&gt;&lt;strong&gt;Background:&lt;/strong&gt; Bilateral recurrent laryngeal nerve injury is mostly iatrogenic following thyroidectomy. Our study aims at defining need for tracheostomy, timing of intervention and best method to achieve permanent treatment in cases of iatrogenic bilateral recurrent laryngeal nerve.&lt;/p&gt;&lt;p class="abstract"&gt;&lt;strong&gt;Methods:&lt;/strong&gt; In past four years we did 34 total thyroidectomy surgeries, all patients were female between 21-65 years of age. Common indications were multi nodular goiter 25 cases, papillary carcinoma thy
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Arjunsing, Vijaysing Samorekar. "Anatomical Variations of Recurrent Laryngeal Nerve (RLN) in Relation with Inferior Thyroid Artery (ITA) in the Patients Undergoing Thyroid Surgeries: A Descriptive Study." International Journal of Pharmaceutical and Clinical Research 15, no. 12 (2023): 272–79. https://doi.org/10.5281/zenodo.11186774.

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<strong>Aim:</strong>&nbsp;Injury to recurrent laryngeal nerve (RLN) is the complication of thyroid surgery. Hoarseness, aspiration and even respiratory difficulty due to vocal cord palsy are major sufferings of thyroid surgery to the patients. Anatomical knowledge about relevant important structures in vicinity is important that is RLN pathway, its relationship to inferior thyroid artery and its extra laryngeal branching pattern is important for the delivery of thyroid lobe. Morbidity after thyroidectomy is also related to the injuries to the parathyroids and external branch of superior laryn
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Bailleux, S., A. Bozec, L. Castillo, and J. Santini. "Thyroid surgery and recurrent laryngeal nerve monitoring." Journal of Laryngology & Otology 120, no. 7 (2006): 566–69. http://dx.doi.org/10.1017/s0022215106000946.

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Recurrent laryngeal nerve paralysis is a much-dreaded complication of thyroid surgery.Objective: To study the feasibility and the reliability of a recurrent laryngeal nerve monitoring technique.Materials and methods: This was a prospective study including 36 patients proposed for thyroid surgery with recurrent laryngeal nerve monitoring. They underwent post-operative fibre-optic laryngeal examination and speech therapist consultation.Results: Our technique of nerve monitoring showed a 98 per cent sensitivity and 86 per cent specificity.Conclusions: Recurrent laryngeal nerve monitoring is a fea
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Battista, Borghi. "Recovery of Post Thyroidectomy Aphonia with Peri Recurrent Laryngeal Nerve Injection of Meloxicam." Global Journal of Anesthesiology 2, no. 1 (2015): 019–21. https://doi.org/10.17352/2455-3476.000011.

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<strong>Objectives:</strong> The aim of this study was to assess the effect of perineural injection of meloxicam on the recovery of vocal cord paresis due to recurrent nerve injury after thyroid surgery. A secondary&nbsp;objective was listed the neural inflammation as possible risk factor for delayed recovery of vocal cord paresis. <strong>Methods:</strong> 47 years old female, two months after thyroid surgery still complaining of aphonia and dyspnea, due to vocal cord paresis bilaterally, bilaterally injection with 7.5mg of meloxicam was done for peri neural recurrent laryngeal nerve aiming t
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Chhetri, Sujan Singh, Toran KC, Meera Bista, and Nayan Bahadur Mahato. "Does methylene blue help in the early identification of the recurrent laryngeal nerve?" Journal of Kathmandu Medical College 7, no. 1 (2018): 8–11. http://dx.doi.org/10.3126/jkmc.v7i1.20622.

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Background: Identification of recurrent laryngeal nerve is of utmost importance during thyroid surgery. Different anatomical landmarks have been used to recognize and preserve the nerve. Injury may lead to vocal cord paralysis. Different adjuvant methods have been used to aid in the identification of the nerve.Objective: To determine whether methylene blue smear helps to identify the recurrent laryngeal nerve safely and efficiently.Methodology: Observational cross sectional study done in 30 patients who underwent different thyroidectomies within a duration of one year. Recurrent laryngeal nerv
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28

Tseimakh, A. E., Ya N. Shoikhet, A. A. Pantyushin, and I. Saxena. "Prevention of recurrent laryngeal nerve injury in thyroid surgery: a systematic review and meta-analysis." Pirogov Russian Journal of Surgery, no. 3 (March 19, 2025): 140. https://doi.org/10.17116/hirurgia2025031140.

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Objective. To evaluate the effectiveness of modern methods for preventing damage to recurrent laryngeal nerve in thyroid surgery. Material and methods. Full-text prospective comparative studies were reviewed in the PubMed Central databases, bibliographic database of the Russian Science Citation Index and Cochrane library database. Heterogeneity was assessed using forest plots, tau2 and I2 statistics. Results. Meta-analysis of pooled risk of recurrent laryngeal nerve injuries revealed significantly lower pooled estimate of the incidence of recurrent laryngeal nerve injuries in groups of intraop
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Brimacombe and Keller. "Recurrent laryngeal nerve injury with the laryngeal mask." ains · Anästhesiologie · Intensivmedizin · Notfallmedizin · Schmerztherapie 34, no. 3 (1999): 189–92. http://dx.doi.org/10.1055/s-1999-176.

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Bage, Atul M., Lakshman Bhaskar Muthuvel, Akshaya A. C., and Nutan N. Bage. "Incidental presence of non recurrent laryngeal nerve in our series of thyroidectomy." International Journal of Otorhinolaryngology and Head and Neck Surgery 5, no. 3 (2019): 563. http://dx.doi.org/10.18203/issn.2454-5929.ijohns20191441.

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&lt;p class="abstract"&gt;&lt;strong&gt;Background:&lt;/strong&gt; Recurrent laryngeal nerve (RLN) injury is one of the most important and preventable complications of thyroidectomy which is the cause of post-operative iatrogenic vocal cord paralysis. The non-recurrent laryngeal nerve (NRLN), which is found in 0.25–0.99 of the patients who undergo thyroid surgery, is a rare embryologically-derived variant of the recurrent laryngeal nerve (RLN). Identification and prevention of injury to the laryngeal nerve is very important in thyroid surgery. The objective of the study was to highlight the in
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Dr., Tanvir Hussain Dr. Hadi Al-Hakami Dr. Mohammed Al Garni. "THE VALUE OF NEURO STIMULATION WITH LARYNGEAL PALPATION (NSLP) AND INTRAOPERATIVE NERVE MONITORING (IONM) OF RECURRENT LARYNGEAL NERVE IN THYROID SURGERY." INDO AMERICAN JOURNAL OF PHARMACEUTICAL SCIENCES 05, no. 11 (2018): 13181–85. https://doi.org/10.5281/zenodo.1549711.

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<strong><em>Objective</em></strong><em>: To compare the accuracy of utilizing neuro stimulation with laryngeal palpation (NSLP) and intraoperative neuro monitoring (CIONM) in total thyroidectomy with regards to injury to the recurrent laryngeal nerve. </em> <strong><em>Methods</em></strong><em>: A retrospective historical cohort study was carried out during the period between January 2014 and January 2018 in King Abdul Aziz Medical, Jeddah. A total of 260 cases that underwent total thyroidectomy were evaluated for recurrent laryngeal nerve injury. The injury rate in these cases was compared be
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Flint, Paul W., Laura L. Purcell, and Charles W. Cummings. "Pathophysiology and Indications for Medialization Thyroplasty in Patients with Dysphagia and Aspiration." Otolaryngology–Head and Neck Surgery 116, no. 3 (1997): 349–54. http://dx.doi.org/10.1016/s0194-59989770272-9.

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Medialization thyroplasty is generally considered a phonosurgical procedure for voice augmentation in patients with glottic insufficiency. This article addresses specifically the issue of dysphagia and aspiration in patients with laryngeal paralysis. A retrospective review of patients undergoing medialization thyroplasty is performed. From 1991 to 1995, 84 patients at The Johns Hopkins Medical Institutions underwent medialization thyroplasty for unilateral vocal fold motion impairment. At presentation 48 patients had isolated recurrent laryngeal nerve injury, 26 with combined superior laryngea
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Alqahtani, Saad M., Hanan R. Al-sohabi, Musaed F. Rayzah, Amani S. Alatawi, Areej A. AlFattani, and Yousef S. Alalawi. "Recurrent laryngeal nerve injury after thyroidectomy." Saudi Medical Journal 44, no. 1 (2023): 80–84. http://dx.doi.org/10.15537/smj.2023.44.1.20220710.

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34

Myers, Eugene N., Ki Hwan Hong, and Young Ki Kim. "Phonatory Characteristics of Patients Undergoing Thyroidectomy without Laryngeal Nerve Injury." Otolaryngology–Head and Neck Surgery 117, no. 4 (1997): 399–404. http://dx.doi.org/10.1016/s0194-5998(97)70133-5.

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Complications that arise after thyroid surgery may be associated with infection, hemorrhage, hormonal problems, and laryngeal nerve injury. Voice alteration after thyroidectomy is usually caused by recurrent or superior laryngeal nerve injury. This voice dysfunction may also be associated with laryngotracheal fixation with impairment of vertical movement or by temporary malfunction of the strap muscles after surgery. In this study, we evaluated the voice function phonetically before and after thyroidectomy in 54 patients, although function of the recurrent and superior laryngeal nerves was nor
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Gulsen, Salih, Cem Yilmaz, Tarkan Calisaneller, Hakan Caner, and Nur Altinors. "PREOPERATIVE FUNCTIONAL ASSESSMENT OF THE RECURRENT LARYNGEAL NERVE IN PATIENTS WITH CERVICAL VERTEBRA FRACTURE." Neurosurgery 64, no. 1 (2009): E191—E192. http://dx.doi.org/10.1227/01.neu.0000336328.59216.08.

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Abstract OBJECTIVE Injury to the recurrent laryngeal nerve may occur during surgical intervention to the anterior part of the neck. However, some disorders can lead to damage to the recurrent laryngeal nerve before surgery. We report 2 cases of lower cervical vertebra fracture, leading to 1-sided injury of the recurrent laryngeal nerve. CLINICAL PRESENTATION One man and 1 woman with neck injuries were admitted to our hospital. The man had a C7–T1 dislocation fracture, and the woman had a C6–C7 dislocation fracture. Both patients had similar fractures and similar clinical presentations. The dis
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Gür, EO, M. Haciyanli, S. Karaisli, et al. "Intraoperative nerve monitoring during thyroidectomy: evaluation of signal loss, prognostic value and surgical strategy." Annals of The Royal College of Surgeons of England 101, no. 8 (2019): 589–95. http://dx.doi.org/10.1308/rcsann.2019.0087.

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Introduction Intraoperative neural monitoring of the recurrent laryngeal nerve has been widely used to avoid nerve injury during thyroidectomy. We discuss the results of the change in surgical strategy after unilateral signal loss surgeries using intermittent intraoperative neural monitoring in a high-volume referral centre. Materials and methods Details of consecutive patients who underwent thyroidectomy with intermittent intraoperative neural monitoring between January 2014 and December 2017 were prospectively recorded and retrospectively reviewed. Loss of signal was defined as recurrent lar
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Smith, Dale B., Edward A. Woody, Margaret Richardson, Herbert L. Olsen, and Don B. Blakeslee. "A Device for the Intraoperative Identification of the Recurrent Laryngeal Nerve in Piglets." Otolaryngology–Head and Neck Surgery 100, no. 2 (1989): 137–45. http://dx.doi.org/10.1177/019459988910000210.

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The recurrent laryngeal nerve (RLN) is one of the most frequently injured nerves in head and neck surgery. Routine identification of the RLN during thyroid surgery has reduced the injury rate from 10% to less than 4%. Difficulty in identification of the RLN contributes to this surgical morbidity. Devices previously used for intraoperative identification of the RLN have failed to achieve the simplicity and reliability necessary for clinical use. This animal study uses a simple double-ballooned endotracheal tube and pressure transducer system, which assists intraoperative RLN identification thro
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38

Chrysikos, Dimosthenis, Markos Sgantzos, John Tsiaoussis, et al. "Non-Recurrent Right Laryngeal Nerve: a Rare Anatomic Variation Encountered During a Total Thyroidectomy." Acta Medica (Hradec Kralove, Czech Republic) 62, no. 2 (2019): 69–71. http://dx.doi.org/10.14712/18059694.2019.105.

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The non-recurrent laryngeal nerve (nRLN) is a rare anatomic variation that every head and neck surgeon must be aware of, in order to avoid intraoperative injury which leads to postoperative morbidity. We are reporting a case of a nRLN in a 47 year old female patient with medullary thyroid carcinoma who was surgically treated with total thyroidectomy and lymph node dissection. Both two inferior laryngeal nerves were identified, fully exposed and preserved along their cervical courses. However, we found that the right inferior laryngeal nerve was non-recurrent and directly arised from the cervic
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39

Taniyama, Yusuke, Hiroshi Okamoto, Chiaki Sato, et al. "Prevention and Management of Recurrent Laryngeal Nerve Palsy in Minimally Invasive Esophagectomy: Current Status and Future Perspectives." Journal of Clinical Medicine 13, no. 24 (2024): 7611. https://doi.org/10.3390/jcm13247611.

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Recurrent laryngeal nerve palsy remains a significant complication following minimally invasive esophagectomy for esophageal cancer. Despite advancements in surgical techniques and lymphadenectomy precision, the incidence of recurrent laryngeal nerve palsy has not been improved. Recurrent laryngeal nerve palsy predominantly affects the left side and may lead to unilateral or bilateral vocal cord paralysis, resulting in hoarseness, dysphagia, and an increased risk of aspiration pneumonia. While most cases of recurrent laryngeal nerve palsy are temporary and resolve within 6 to 12 months, some p
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Kupfer, Robbi A., Matthew O. Old, Sang Su Oh, Eva L. Feldman, and Norman D. Hogikyan. "Spontaneous laryngeal reinnervation following chronic recurrent laryngeal nerve injury." Laryngoscope 123, no. 9 (2013): 2216–27. http://dx.doi.org/10.1002/lary.24049.

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41

Dhingra, Preeti, Kaustubh Raghuwanshi, Sirigiri Naga Mahendra, and Ritesh Agrawal. "Non recurrent laryngeal nerve: be vigilant." International Journal of Otorhinolaryngology and Head and Neck Surgery 10, no. 3 (2024): 335–37. http://dx.doi.org/10.18203/issn.2454-5929.ijohns20241333.

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The nonrecurrent laryngeal nerve (NRLN) is a rare variant of the RLN, which results from the partial failure of pharyngeal apparatus during embryological development. It’s a rare anatomical variation in which the nerve doesn’t descend to the thorax and enters the larynx directly from the vagus nerve in the neck. It’s an uncommon anatomical variation usually associated with subclavian artery abnormalities, so identification of these vascular anomalies before the surgery is important to avoid nerve injury. These anomalies lead to difficulty in finding the RLN and hence the chances of injury to t
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42

Bharath, M. S., M.N. Gopinath, C.N. Divyashri, and S. R. Divakar. "Comparison of Postoperative Complications in Benign Thyroid Disorders: Subtotal versus Total Thyroidectomy, an Institutional Experience." International Journal of Pharmaceutical and Clinical Research 16, no. 3 (2024): 615–19. https://doi.org/10.5281/zenodo.10960813.

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Subtotal and total thyroidectomy are the surgeries commonly performed for benign thyroid disorders. Total thyroidectomy was not routinely performed in the past as it was believed that complications like hypoparathyroidism and recurrent laryngeal nerve injury are more common after total thyroidectomy. However subtotal thyroidectomy is associated with recurrence of the disease which warrants a second surgery. Reoperation has higher rate of above mentioned complications. The aim of our study was to compare the post operative complications in patients undergoing subtotal thyroidectomy with those u
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Jawad, Saad Ramadhan. "Recurrent Laryngeal Nerve Injury With Versus Without Nerve Identification In Different Thyroidectomy Procedures." AL-Kindy College Medical Journal 14, no. 1 (2018): 29–32. http://dx.doi.org/10.47723/kcmj.v14i1.13.

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Background: The world health organization estimates that worldwide 2 billion people still have iodine deficiency Objectives: Is to make comparison between the effect of identification of recurrent laryngeal nerve (RLN) and non-identification of the nerve on incidence of recurrent laryngeal nerve injury (RLNI) in different thyroidectomy procedures.&#x0D; Type of the study: cross –sectional study.&#x0D; Methods: 132 patients with goiters underwent thyroidectomy .Identification of RLN visually by exposure were done for agroup of them and non-identification of the nerves for the other group. The o
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Paniello, Randal C., and J. David Dahm. "Long-term model of induced canine phonation." Otolaryngology–Head and Neck Surgery 118, no. 4 (1998): 512–22. http://dx.doi.org/10.1177/019459989811800413.

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Experimental induced phonation in the dog has been used in short-term studies by several investigators and has proved quite useful in laryngeal research. In this study a long-term canine phonation model is described that uses permanently implanted electrodes on the superior and recurrent laryngeal nerves. A serial induced phonation model has not been previously reported and is needed for laryngeal research in which voice results are a primary end point. Inexpensive, reliable, nontoxic electrodes were designed and fabricated. The laryngeal nerves were found to be quite susceptible to injury, ne
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Nilam, A. R. N. M., and P. Jeepara. "Non-recurrent Laryngeal Nerve: A Rare Encounter During Thyroidectomy." Batticaloa Medical Journal 19, no. 1 (2025): 50–52. https://doi.org/10.4038/bmj.v19i1.74.

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The recurrent laryngeal nerve (RLN) is at risk during thyroid surgery. It innervates all intrinsic laryngeal muscles except the cricothyroid. Injury to the RLN can result in significant morbidity, including vocal cord paralysis. The non-recurrent laryngeal nerve (NRLN) is a rare anatomical variant that does not follow the typical recurrent course, entering the larynx directly from the vagus nerve. Its presence increases the risk of iatrogenic injury, particularly if not identified intraoperatively.We report the case of a 56-year-old woman who presented with a longstanding anterior neck swellin
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46

Zitsch, Robert P., and James S. Reilly. "Vocal Cord Paralysis Associated with Cystic Fibrosis." Annals of Otology, Rhinology & Laryngology 96, no. 6 (1987): 680–83. http://dx.doi.org/10.1177/000348948709600613.

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The course of the left recurrent laryngeal nerve through the chest brings it in close proximity with the heart and great cardiac vessels. Diseases of the heart and the great vessels are known to cause vocal cord paralysis, probably by mechanical injury to the recurrent laryngeal nerve. Pulmonary artery hypertension and dilation occur in up to 80% of patients with cystic fibrosis. We report a case of a 23-year-old woman with cystic fibrosis and left vocal cord paralysis. We believe that sudden pulmonary artery expansion produced recurrent laryngeal nerve injury and vocal cord paralysis. This is
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Solomennikova, Natalya V., Volodymyr O. Palamarchuk, Julia V. Dieeva, and Tamila D. Savchenko. "Recurrent laryngeal nerve injury after thyroid surgery." OTORHINOLARYNGOLOGY №5-6(3) 2020, no. 5-6(3) 2020 (November 4, 2020): 34–41. http://dx.doi.org/10.37219/2528-8253-2020-6-34.

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Relevance: Thyroid surgery is dangerous and can lead to damage RLN. The frequency of nerve damage varies widely and this is due to the fact that not always immediately after surgery and subsequent examination of the larynx. This leads to late start of treatment. Purpose of this research is estimate the frequency of transient and permanent immobility of the vocal folds after thуroid surgery. Materials and methods: It was prospective cohort monocenters investigate. 1364 patients were examined. We developed “voice passport of the patient” to improve the diagnosis and treatment. It included data o
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Araki, Koji, Hiroshi Suzuki, Kosuke Uno, Masayuki Tomifuji, and Akihiro Shiotani. "Gene Therapy for Recurrent Laryngeal Nerve Injury." Genes 9, no. 7 (2018): 316. http://dx.doi.org/10.3390/genes9070316.

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49

Zakaria. "Recurrent Laryngeal Nerve Injury in Thyroid Surgery." Oman Medical Journal 26, no. 1 (2011): 34–38. http://dx.doi.org/10.5001/omj.2011.09.

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Rohaizak, M. "Reducing Recurrent Laryngeal Nerve Injury in Thyroidectomy." World Journal of Endocrine Surgery 7, no. 2 (2015): 0. http://dx.doi.org/10.5005/wjoes-7-2-iv.

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