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VOLUME 14 , ISSUE 1 ( January-April, 2022 ) > List of Articles

Photo Essay

Nonrecurrent Laryngeal Nerve: Thyroid Surgeons’ Paradise

Ritesh Agrawal

Keywords : Aberrant right subclavian artery, Arteria lusoria, Nonrecurrent laryngeal nerve

Citation Information : Agrawal R. Nonrecurrent Laryngeal Nerve: Thyroid Surgeons’ Paradise. World J Endoc Surg 2022; 14 (1):35-35.

DOI: 10.5005/jp-journals-10002-1425

License: CC BY-NC 4.0

Published Online: 16-07-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

This article presents a picture of a nonrecurrent laryngeal nerve found during surgery for a benign parathyroid tumor along with a thyroid nodule. The patient had recurrent renal stones, worked up, and was found to have hypercalcemia due to primary hyperparathyroidism along with a nodule in the right lobe of the thyroid. A preoperative computed tomography (CT) scan identified a right aberrant subclavian artery. During surgery, we found a nonrecurrent laryngeal nerve originating from the vagus nerve higher up in the neck and entering directly into the larynx by taking a curved course as shown in the picture. The nerve was saved at full length and postoperatively, and there was no vocal dysfunction.

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  2. Toniato A, Mazzarotto R, Piotto A, et al. Identification of the nonrecurrent laryngeal nerve during thyroid surgery: 20-year experience. World J Surg 2004;28(7):659–661. DOI: 10.1007/s00268-004-7197-7
  3. Myers PO, Fasel JHD, Kalangos A, et al. Arteria lusoria: developmental anatomy, clinical, radiological and surgical aspects. Ann Cardiol Angeiol (Paris) 2010;59(3):147–154. DOI: 10.1016/j.ancard.2009.07.008
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