Neuromonitoring of the external branch of the superior laryngeal nerve during minimally invasive thyroid surgery under local anesthesia: A prospective study of 10 patients

2009 ◽  
Vol 119 (3) ◽  
pp. 597-601 ◽  
Author(s):  
William B. Inabnet ◽  
Thomas Murry ◽  
Shamly Dhiman ◽  
Jonathan Aviv ◽  
Jean-Christophe Lifante
Keyword(s):  
Minimally Invasive ◽  
Prospective Study ◽  
Local Anesthesia ◽  
Thyroid Surgery ◽  
Superior Laryngeal Nerve ◽  
Laryngeal Nerve ◽  
External Branch ◽  
Minimally Invasive Thyroid Surgery ◽  
A Prospective Study

scholarly journals Minimally Invasive Video-Assisted versus Minimally Invasive Nonendoscopic Thyroidectomy

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Zdeněk Fík ◽  
Jaromír Astl ◽  
Michal Zábrodský ◽  
Petr Lukeš ◽  
Ilja Merunka ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Prospective Study ◽  
Surgical Procedures ◽  
Thyroid Surgery ◽  
Laryngeal Nerve ◽  
Postoperative Course ◽  
Advantages And Disadvantages ◽  
Video Assisted ◽  
Minimally Invasive Thyroid Surgery ◽  
Feasible Alternative

Minimally invasive video-assisted thyroidectomy (MIVAT) and minimally invasive nonendoscopic thyroidectomy (MINET) represent well accepted and reproducible techniques developed with the main goal to improve cosmetic outcome, accelerate healing, and increase patient’s comfort following thyroid surgery. Between 2007 and 2011, a prospective nonrandomized study of patients undergoing minimally invasive thyroid surgery was performed to compare advantages and disadvantages of the two different techniques. There were no significant differences in the length of incision to perform surgical procedures. Mean duration of hemithyroidectomy was comparable in both groups, but it was more time consuming to perform total thyroidectomy by MIVAT. There were more patients undergoing MIVAT procedures without active drainage in the postoperative course and we also could see a trend for less pain in the same group. This was paralleled by statistically significant decreased administration of both opiates and nonopiate analgesics. We encountered two cases of recurrent laryngeal nerve palsies in the MIVAT group only. MIVAT and MINET represent safe and feasible alternative to conventional thyroid surgery in selected cases and this prospective study has shown minimal differences between these two techniques.

scholarly journals Identification of external branch of superior laryngeal nerve during thyroid surgery: a prospective study

2017 ◽  
Vol 4 (1) ◽  
pp. 228 ◽  
Author(s):  
Vipin R. Ekhar ◽  
Ramkumar V. ◽  
Ritesh N. Shelkar ◽  
Akshay V. Sarode
Keyword(s):  
Thyroid Surgery ◽  
Tertiary Care ◽  
Surgical Techniques ◽  
Superior Laryngeal Nerve ◽  
Laryngeal Nerve ◽  
Individual Identification ◽  
Care Hospital ◽  
External Branch ◽  
A Prospective Study ◽  
Superior Pole

<p class="abstract"><strong>Background:</strong> Identification of external branch of superior laryngeal nerve (EBSLN) according to Cernea et al classification and to describe a surgical technique of superior pole dissection to preserve EBSLN during thyroid surgeries.</p><p class="abstract"><strong>Methods:</strong> The study was done over 2 years period in a tertiary care hospital. 105 nerves were studied among the 90 patients who underwent thyroid surgeries. Avascular dissection over the JOLL’S triangle was carried out and identified EBSLN were classified according to Cernea et al classification. Individual ligation of superior pole vessels was carried out after identifying the nerve. Outcome was studied relating the identified nerve with sides of thyroidectomy performed, size of thyroid gland and nerves at risk according to Cernea et al classification.  </p><p class="abstract"><strong>Results:</strong> Of the 105 nerves studied, in 81.90% of patients the nerve was identified. There were 34.88% of Type 1 nerves, 52.33% of Type 2A nerve and 12.79% of Type 2B nerves identified. Less number of nerves could be identified on the left side. Type 2B nerves were more common on left side inspite of less number of dissections carried out on left. Type 2 variation was more common in large goiters.</p><p><strong>Conclusions:</strong> Careful dissection should be done in superior pole in avascular cricothyroid space, with lateralization of superior pole and individual identification of superior pole vessels once the nerve is identified. Identification of the nerve is mandatory in all patients who undergo thyroid surgery for optimal functions of the larynx. These results showed a better identification of nerves by proper surgical techniques without use of any sophisticated equipments. </p>

scholarly journals Identifying Recurrent Laryngeal Nerve in Thyroid Surgery Using Relationship with Superior Parathyroid Gland and Tubercle of Zuckerkandl

2015 ◽  
Vol 23 (3) ◽  
pp. 99-103
Author(s):  
Somesh Mozumder ◽  
Shirish Dubey ◽  
Aniruddha Dam ◽  
Anup Kumar Bhowmick
Keyword(s):  
Prospective Study ◽  
Recurrent Laryngeal Nerve ◽  
Parathyroid Gland ◽  
Thyroid Surgery ◽  
Intimate Relationship ◽  
Laryngeal Nerve ◽  
Laryngeal Nerves ◽  
Recurrent Laryngeal Nerves ◽  
A Prospective Study ◽  
Relationship Of

Introduction: Recurrent laryngeal nerves (RLN) are particularly prone to injury during thyroid surgeries due to its intimate relationship and proximity with the gland. Zuckerkandl’s tubercle (ZT) helps in preserving RLN intra operative. Material and Methods: A prospective study for identifying RLN in thyroid surgery using relationship with superior parathyroid gland and tubercle of Zuckerkandl was conducted on 50 thyroidectomy patients between August 2013 and February 2014. Results: In all cases ZT was identified. Temporary paralysis of RLN was seen in 3 (6%) cases and permanent paralysis in 2 (4%) of cases. Discussion: The site of greatest risk during thyroidectomy to the RLN is in the last 2-3 cm extralaryngeal course of the nerve. Relationship of recurrent laryngeal nerve with superior parathyroid gland and tubercle of Zukerkandl (ZT) is known. Conclusion: Use of ZT and superior parathyroids as a landmark allows safe dissection of RLN.

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