recurrent laryngeal nerve
Summary: Branches of the vagus (tenth cranial) nerve. The recurrent laryngeal nerves originate more caudally than the superior laryngeal nerves and follow different paths on the right and left sides. They carry efferents to all muscles of the larynx except the cricothyroid and carry sensory and autonomic fibers to the laryngeal, pharyngeal, tracheal, and cardiac regions.
Publications253 found, 100 shown here
- Laryngeal recurrent nerve injury in surgery for benign thyroid diseases: effect of nerve dissection and impact of individual surgeon in more than 27,000 nerves at riskMichael Hermann
Department of Surgery, Kaiserin Elisabeth Spital, University of Vienna, Vienna, Austria
Ann Surg 235:261-8. 2002To evaluate the effect of recurrent nerve dissection on the incidence of recurrent laryngeal nerve injury (RLNI) and to analyze the performance of individual surgeons.
- Intraoperative monitoring of the recurrent laryngeal nerve in thyroid surgeryH Dralle
Department of General, Visceral and Vascular Surgery, Martin Luther University of Halle, Ernst Grube Str 40, D 06097 Halle Saale, Germany
World J Surg 32:1358-66. 2008b>Recurrent laryngeal nerve (RLN) palsy ranks among the leading reasons for medicolegal litigation of surgeons because of its attendant reduction in quality of life...
- The role of intraoperative neuromonitoring of recurrent laryngeal nerve during thyroidectomy: a comparative study on 1000 nerves at riskWai Fan Chan
Department of Surgery, University of Hong Kong Medical Centre, Queen Mary Hospital, Hong Kong, China
Surgery 140:866-72; discussion 872-3. 2006The role of intraoperative neuromonitoring of recurrent laryngeal nerve (RLN) during thyroidectomy has not been well established...
- Advantages of recurrent laryngeal nerve identification in thyroidectomy and parathyroidectomy and the importance of preoperative and postoperative laryngoscopic examination in more than 1000 nerves at riskMartin Steurer
Department of Otorhinolaryngology Head and Neck Surgery, Vienna Medical School, General Hospital Vienna, Waeringer Guertel 18 20, A 1090 Vienna, Austria
Laryngoscope 112:124-33. 2002b>Recurrent laryngeal nerve palsy (RLNP) is a major obstacle in thyroid and parathyroid surgery. Therefore, methods that reduce the number of temporary and, especially, permanent recurrent laryngeal nerve palsies are of great interest...
- The mechanism of recurrent laryngeal nerve injury during thyroid surgery--the application of intraoperative neuromonitoringFeng Yu Chiang
Department of Otolaryngology Head and Neck Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
Surgery 143:743-9. 2008Identification of recurrent laryngeal nerve (RLN) has decreased the rates of permanent RLN palsy during thyroid operations; however, unexpected RLN palsy still occurs, even though the visual integrity was assured and most nerve injuries ..
- The Zuckerkandl's tubercle: a useful anatomical landmark for detecting both the recurrent laryngeal nerve and the superior parathyroid during thyroid surgeryJi Sup Yun
Department of Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea
Endocr J 55:925-30. 2008..This study evaluated ZT anatomical characteristics in terms of the recurrent laryngeal nerve (RLN) and the superior parathyroid (SP)...
- Topography of the recurrent laryngeal nerve in relation to the thyroid artery, Zuckerkandl tubercle, and Berry ligament in KenyansW Kaisha
Department of Human Anatomy, University of Nairobi, Nairobi, Kenya
Clin Anat 24:853-7. 2011Injury to the recurrent laryngeal nerve (RLN) is an important but avoidable complication of thyroidectomy. This complication may be avoided by the identification of the nerve facilitated by important landmarks found along its course...
- Clinical review: Current concepts in the management of unilateral recurrent laryngeal nerve paralysis after thyroid surgeryDana M Hartl
Department of Otolaryngology and Head and Neck Surgery, Institut Gustave Roussy, rue Camille Desmoulins, 94805 Villejuif Cedex, France
J Clin Endocrinol Metab 90:3084-8. 2005This study was designed to provide an update on the pathophysiological concepts and patient management in a common complication of thyroid surgery, unilateral recurrent laryngeal nerve paralysis (URLNP).
- History of the recurrent laryngeal nerve: from Galen to LaheyEdwin L Kaplan
Department of Surgery, Section of General Surgery, University of Chicago Pritzker School of Medicine, 5841 S Maryland Avenue, MC4052, Chicago, IL 60637, USA
World J Surg 33:386-93. 2009..Demonstrating before the elders of Rome, he showed that cutting the recurrent laryngeal nerve in the neck caused a live pig to stop squealing-an extraordinary feat...
- Monitoring of the recurrent laryngeal nerve in totally endoscopic thyroid surgeryK Witzel
Minimal Invasiv Center, Huenfeld, Germany
Eur Surg Res 43:72-6. 2009..the feasibility of the sublingual transoral access for thyroid resection including the monitoring of the recurrent laryngeal nerve (RLN) in a porcine model...
- Electrophysiologic recurrent laryngeal nerve monitoring during thyroid and parathyroid surgery: international standards guideline statementGregory W Randolph
Department of Otology and Laryngology, Division of Thyroid and Parathyroid Surgery, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts 02114, USA
Laryngoscope 121:S1-16. 2011..We hope this work will minimize inappropriate variations in monitoring rather than to dictate practice options...
- Risk factors of paralysis and functional outcome after recurrent laryngeal nerve monitoring in thyroid surgeryHenning Dralle
Department of General, Visceral and Vascular Surgery, Klinikum Kröllwitz, University of Halle, Ernst Grube Strasse 40, D 06097 Halle, Germany
Surgery 136:1310-22. 2004b>Recurrent laryngeal nerve monitoring (RLNM) has been suspected to reduce postoperative RLN paralysis (RLNP)...
- Recurrent laryngeal nerve in thyroid surgery: a critical appraisalAbdullah N Hisham
Department of Breast and Endocrine Surgery, Putrajaya Hospital, Malaysia
ANZ J Surg 72:887-9. 2002Identification and preservation of the recurrent laryngeal nerve (RLN) is of major concern in surgery of the thyroid gland...
- The motor fibers of the recurrent laryngeal nerve are located in the anterior extralaryngeal branchJonathan W Serpell
Endocrine Surgery Unit, Monash University, The Alfred Hospital, Melbourne, Australia
Ann Surg 249:648-52. 2009This study aimed to establish the prevalence of extralaryngeal bifurcation of the recurrent laryngeal nerve (RLN) and investigate the location of the motor fibers to the intrinsic muscles of the larynx within the branches of the RLN.
- Effects of long-term denervation on the rat thyroarytenoid muscleSatoru Miyamaru
Department of Otolaryngology Head and Neck Surgery, Graduate School of Medicine, Kumamoto University, Honjo, Kumamoto, Japan
Laryngoscope 118:1318-23. 2008..To determine the effects of long-term denervation on the rat thyroarytenoid (TA) muscle and neuromuscular junctions...
- Extralaryngeal bifurcation of the recurrent laryngeal nerve: a common variationTilan Beneragama
Breast, Endocrine Surgery and Surgical Oncology Unit and Monash University, Frankston Hospital, Melbourne, Victoria, Australia
ANZ J Surg 76:928-31. 2006Extralaryngeal bifurcation and trifurcation of the recurrent laryngeal nerve (RLN) is not well described in anatomical texts...
- New operative surgical concept of two fascial layers enveloping the recurrent laryngeal nerveJonathan W Serpell
Monash University Endocrine Surgery Unit, The Alfred Hospital, Commercial Road, Melbourne, Vic, Australia
Ann Surg Oncol 17:1628-36. 2010Avoiding recurrent laryngeal nerve (RLN) injury is aided by a precise anatomical understanding of the RLN before entry into the larynx where it is at greatest risk.
- Real-time monitoring of the recurrent laryngeal nerve: an observational clinical trialChristoph Ulmer
Department of General, Visceral, and Trauma Surgery, Robert Bosch Hospital, Stuttgart, Germany
Surgery 143:359-65. 2008..intermittent electrophysiological tracing of the nerves, but its use is still associated with permanent recurrent laryngeal nerve (RLN) injury...
- Role of intraoperative neuromonitoring of the recurrent laryngeal nerve in high-risk thyroid surgeryIhab Atallah
Department of Otolaryngology and Head and Neck Surgery, Hautepierre Hospital, Strasbourg, France
J Otolaryngol Head Neck Surg 38:613-8. 2009Thyroid surgeries associated with an elevated incidence of recurrent laryngeal nerve (RLN) injury are considered high-risk thyroidectomies...
- Improvement in phonation after reconstruction of the recurrent laryngeal nerve in patients with thyroid cancer invading the nerveAkira Miyauchi
Department of Surgery, Kuma Hospital, Kobe, Japan
Surgery 146:1056-62. 2009We report vocal improvement after reconstruction of the recurrent laryngeal nerve (RLN) in patients with nerve resection, although vocal cord movement was not restored. These methods are not widely recognized.
- Standardization of intraoperative neuromonitoring of recurrent laryngeal nerve in thyroid operationFeng Yu Chiang
Department of Otolaryngology Head and Neck Surgery, Faculty of Medicine, College of Medicine, Kaohsiung Municipal Hsiao Kang Hospital, Kaohsiung Medical University, No 100, Tzyou First Road, Kaohsiung City, 807, Taiwan
World J Surg 34:223-9. 2010..may lead to highly variable results, and many of these results can cause misleading information and, conversely, increase the risk of recurrent laryngeal nerve (RLN) injury. Therefore, standardization of IONM procedures is necessary.
- Does extralaryngeal branching have an impact on the rate of postoperative transient or permanent recurrent laryngeal nerve palsy?Claudio Casella
Department of General Surgery, University of Brescia School of Medicine, Brescia, Italy
World J Surg 33:261-5. 2009This prospective study assessed the prevalence of the extralaryngeal branching of the recurrent laryngeal nerve (RLN) and its impact on the incidence of postoperative transient or permanent RLN palsy.
- Variability in nerve patterns of the adductor muscle group supplied by the recurrent laryngeal nerveEva Maranillo
Department of Anatomy and Human Embryology, Faculty of Medicine, Complutense University of Madrid, Madrid 28040, Spain
Laryngoscope 115:358-62. 2005..The aim of the present work was to study the nerve supply of the adductor laryngeal muscles supplied by the recurrent laryngeal nerve.
- Recurrent laryngeal nerve: significance of the anterior extralaryngeal branchEmad Kandil
Department of Surgery, Tulane University, School of Medicine, New Orleans, LA
Surgery 149:820-4. 2011Recognition of extralaryngeal branching of the recurrent laryngeal nerve (RLN) is crucial, because inadvertent operative division may lead to significant postoperative morbidity...
- A newly identified variation at the entry of the recurrent laryngeal nerve into the larynxTanglei Shao
Department of Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
J Invest Surg 23:314-20. 2010We aimed to highlight a new anatomical variation of the recurrent laryngeal nerve (RLN), and to emphasize its implications for thyroid surgery.
- Recurrent laryngeal nerve damage and phonetic modifications after total thyroidectomy: surgical malpractice only or predictable sequence?Lodovico Rosato
Department of Surgery, Endocrine Surgical Unit, Ivrea Hospital, Piazza della Credenza, Ivrea, 2 10015, Italy
World J Surg 29:780-4. 2005..dysphagia: 4 (2%) monoplegia and 12 (6%) hypomobility of the vocal cords due to impaired function of the recurrent laryngeal nerve (RLN); 6 (3%) cord hypotonia due to impairment of the superior laryngeal nerve (SLN); 34 (16%) dysphagia:..
- Anatomical variations of recurrent laryngeal nerve during thyroid surgery: how to identify and handle the variations with intraoperative neuromonitoringFeng Yu Chiang
Department of Otolaryngology, Kaohsiung Medical University Hospital, Taiwan
Kaohsiung J Med Sci 26:575-83. 2010b>Recurrent laryngeal nerve (RLN) palsy is the most common and serious complication after thyroid surgery...
- Delivery of an adenoviral vector to the crushed recurrent laryngeal nerveAdam Rubin
Department of Otorhinolaryngology, University of Michigan, Ann Arbor, USA
Laryngoscope 113:985-9. 2003Objectives were to create a model of recurrent laryngeal nerve injury for testing the efficacy of potential therapeutic viral gene therapy vectors and to demonstrate that remote injection of a viral vector does not cause significant ..
- Remote delivery of rAAV-GFP to the rat brainstem through the recurrent laryngeal nerveA D Rubin
Department of Neurology, University of Michigan, Ann Arbor, Michigan 48109, USA
Laryngoscope 111:2041-5. 2001To demonstrate that a recombinant adeno-associated viral vector (rAAV) carrying the gene for green fluorescent protein (GFP) could be delivered to the rat brainstem by remote injection into the recurrent laryngeal nerve.
- Recurrent laryngeal nerve monitoring versus identification alone on post-thyroidectomy true vocal fold palsy: a meta-analysisThomas S Higgins
Department of Otolaryngology Head and Neck Surgery, Eastern Virginia Medical School, Norfolk, Virginia 23507, USA
Laryngoscope 121:1009-17. 2011To compare by meta-analysis the effect of recurrent laryngeal nerve (RLN) monitoring versus RLN identification alone on true vocal fold palsy rates after thyroidectomy.
- Cricotracheal separation: a review and a case with bilateral recovery of recurrent laryngeal nerve functionD J McCrystal
Department of ENT Surgery, Ipswich Hospital, Queensland, Australia
J Laryngol Otol 120:497-501. 2006..Computerized tomography (CT) plays a role in diagnosis but cannot necessarily be relied upon. Bilateral recurrent laryngeal nerve (RLN) palsies are usually associated with this type of injury...
- Pitfalls of intraoperative neuromonitoring for predicting postoperative recurrent laryngeal nerve function during thyroidectomyWai Fan Chan
Division of Endocrine Surgery, Department of Surgery, University of Hong Kong Medical Centre, Queen Mary Hospital, Pokfulam, Hong Kong, China
World J Surg 30:806-12. 2006..neuromonitoring has been widely adopted to facilitate the identification and preservation of recurrent laryngeal nerve (RLN) function during thyroid surgery...
- Robot-assisted thoracoscopic lymphadenectomy along the left recurrent laryngeal nerve for esophageal squamous cell carcinoma in the prone position: technical report and short-term outcomesKoichi Suda
Division of Upper GI, Department of Surgery, Fujita Health University, 1 98 Dengakugakubo, Kutsukake, Toyoake, 470 1192, Aichi, Japan
World J Surg 36:1608-16. 2012Meticulous mediastinal lymphadenectomy frequently induces recurrent laryngeal nerve palsy (RLNP). Surgical robots with impressive dexterity and precise dissection skills have been developed to help surgeons perform operations...
- A case of Hodgkin's disease presenting with recurrent laryngeal nerve palsy and tracheoesophageal fistulaA Munshi
Department of Radiotherapy, Institute Rotary Cancer Hospital IRCH, All India Institute of Medical Sciences AIIMS Ansari Nagar, New Delhi, India
Med J Malaysia 61:97-9. 2006..The patient was treated with systemic chemotherapy and involved field radiotherapy. On follow up 1 year after the completion of treatment, he was clinically and radiologically disease free...
- Surgical anatomy of the recurrent laryngeal nerve revisitedMaisie L Shindo
Division of Otolaryngology Head and Neck Surgery, SUNY at Stony Brook, Stony Brook, NY 11794, USA
Otolaryngol Head Neck Surg 133:514-9. 2005..The surgical topographical anatomy of the nerve in this region has not been studied in detail, which is the focus of this study...
- Recurrent laryngeal nerve paralysis: anatomy and etiologyDavid Myssiorek
Department of Otolaryngology and Communicative Disorders, The Long Island Jewish Medical Center, The Long Island Campus of the Albert Einstein College of Medicine, 270 05 76th Avenue, Suite 1120, New Hyde Park, NY 11040, USA
Otolaryngol Clin North Am 37:25-44, v. 2004..Recovery is dependent on the type, extent, and site of nerve lesion. Familiarity with this data allows the otolaryngologist to tailor management to suit each patient with vocal fold paralysis...
- Recurrent laryngeal nerve post-natal development in ratsNara Terezinha Montali Silva Lima
Department of Ophthalmology and Otolaryngology, Medical School of Ribeirao Preto, University of Sao Paulo, 14049 900, Ribeirao Preto, Sao Paulo, Brazil
J Neurosci Methods 165:18-24. 2007Studies on the normal pattern of development and post-natal maturation of the recurrent laryngeal nerve in rats are scanty...
- Recurrent laryngeal nerve injury following uncomplicated carotid angioplasty and stentingGeetha Jeyabalan
Division of Vascular Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania 15213, USA
J Endovasc Ther 16:345-8. 2009..To describe a unique instance of cranial nerve injury related to uncomplicated carotid artery stenting (CAS)...
- Palpatory method used to identify the recurrent laryngeal nerve during thyroidectomyF Procacciante
Department of VII Patologia Chirurgica, Policlinico Umberto I, Universita degli Studi di Roma La Sapienza, Rome, Italy
World J Surg 24:571-3. 2000The major complication of thyroid surgery, occurring in 1% to 6% of cases, is injury to the recurrent laryngeal nerve (RLN). A simple method to identify the RLN during thyroid surgery is described by the authors...
- Clinically relevant anatomy of recurrent laryngeal nerveJustin M Haller
Department of Orthopaedic Surgery, University of Utah School of Medicine, Salt Lake City, UT, USA
Spine (Phila Pa 1976) 37:97-100. 2012..An anatomic study of anterior cervical dissection of 11 embalmed cadavers...
- An applied anatomical study on the recurrent laryngeal nerve and inferior thyroid arteryWen Jing Tang
National Class Preclinical Medicine Experimental Teaching Demonstration Center, Chongqing Medical University, Chongqing 400016, China
Surg Radiol Anat 34:325-32. 2012..The aim of this study was to provide some important information about the morphology and topography of the recurrent laryngeal nerve (RLN) and inferior thyroid artery (ITA), which significantly helps localize and protect the RLN in neck ..
- Evaluating the safety of the Harmonic Scalpel around the recurrent laryngeal nerveHang Jiang
Minimally Invasive Surgical Centre, Changzheng Hospital, Second Military Medical University, Shanghai, China
ANZ J Surg 80:822-6. 2010The Harmonic Scalpel (HS) is widely used in thyroidectomy. Determining the safety margin of using the HS near the recurrent laryngeal nerve (RLN) is helpful in preventing the injury to this nerve during thyroidectomy.
- A new anchor electrode design for continuous neuromonitoring of the recurrent laryngeal nerve by vagal nerve stimulationsRick Schneider
Department of Surgery, University Hospital Leipzig, Leipzig, Germany
Langenbecks Arch Surg 394:903-10. 2009Intraoperative neuromonitoring has the limitation that the recurrent laryngeal nerve (RLN) is still at risk for damage between two stimulations with a handheld bipolar stimulation electrode...
- Motor and sensory branching of the recurrent laryngeal nerve in thyroid surgeryEmad Kandil
Department of Surgery, Tulane University, School of Medicine, New Orleans, LA 70112, USA
Surgery 150:1222-7. 2011Recognition of extralaryngeal bifurcation of the recurrent laryngeal nerve (RLN) is crucial, because inadvertent intraoperative division may lead to significant morbidity...
- Recurrent laryngeal nerve injury with anterior cervical spine surgery risk with laterality of surgical approachW J Beutler
SUNY Upstate Medical University, Department of Orthopedic Surgery, Syracuse, New York 13202, USA
Spine (Phila Pa 1976) 26:1337-42. 2001..OBJECTIVES: The primary purpose of the study is to determine whether there is in fact a greater risk of recurrent laryngeal nerve (RLN) injury with approach on the right or left side...
- The recurrent laryngeal nerve in thyroid surgeryJ P O'Neill
Department of Otolaryngology, Mid Western Regional Hospital, Dooradoyle, Limerick
Surgeon 6:373-7. 2008The recurrent laryngeal nerve (RLN) is an essential nerve for phonation and psychosocial interaction. Throughout the annals oflaryngological history, vocal cord paralysis has been a well recognised disorder...
- Intraoperative neurophysiology testing of the recurrent laryngeal nerve: plaudits and pitfallsSamuel K Snyder
Department of Surgery, Scott and White Memorial Hospital and Clinic, Temple, TX, USA
Surgery 138:1183-91; discussion 1191-2. 2005..Whether this device enhances or hinders the identification and preservation of the recurrent laryngeal nerve (RLN) is unclear.
- Incidence of vocal cord paralysis with and without recurrent laryngeal nerve monitoring during thyroidectomyMaisie Shindo
Division of Otolaryngology Head and Neck Surgery, School of Medicine, State University of New York at Stony Brook, NY 11794 8191, USA
Arch Otolaryngol Head Neck Surg 133:481-5. 2007..paresis or paralysis in a cohort of patients who underwent thyroidectomy with and without continuous recurrent laryngeal nerve (RLN) monitoring by a single senior surgeon...
- Elucidating mechanisms of recurrent laryngeal nerve injury during thyroidectomy and parathyroidectomySamuel K Snyder
Department of Surgery, Scott and White Memorial Hospital, Temple, TX 76508, USA
J Am Coll Surg 206:123-30. 2008..parathyroidectomy, or related central neck procedures can elucidate actual or potential mechanisms of recurrent laryngeal nerve (RLN) injury, especially visually intact nerves, which were previously unknown to the endocrine surgeon.
- Recurrent laryngeal nerve monitoring during thyroidectomy and related cervical procedures in the pediatric populationW Matthew White
Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, and Department of Otology and Laryngology, Harvard Medical School, Boston, Massachusetts 02114, USA
Arch Otolaryngol Head Neck Surg 135:88-94. 2009To gather data on, and assess the applicability of, intraoperative recurrent laryngeal nerve (RLN) monitoring during thyroidectomy and related cervical procedures in children and adolescents...
- The use of readily available equipment in a simple method for intraoperative monitoring of recurrent laryngeal nerve function during thyroid surgery: initial experience with more than 300 casesHolger K Eltzschig
Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women s Hospital, Harvard Medical School, 75 Francis St, Boston, MA 02115, USA
Arch Surg 137:452-6; discussion 456-7. 2002An inexpensive and widely applicable technique to monitor recurrent laryngeal nerve (RLN) function during thyroid surgery can be safely implemented.
- Pulmonary mucormycosis presenting with recurrent laryngeal nerve palsyV Suresh
Department of Endocrinology, Postgraduate Institute of Medical Education and Research, Chandigarh, India 160012
J Assoc Physicians India 51:912-3. 2003..We report an instance of polypoid endobronchial mucormycosis and vocal cord paralysis in a patient with type I diabetes and diabetic ketoacidosis...
- Intraoperative electromyographic monitoring of the recurrent laryngeal nerve in reoperative thyroid and parathyroid surgeryDonald E Yarbrough
Department of Surgery, College of Medicine, Mayo Clinic, Mayo Building W6, 200 First Street SW, Rochester, MN 55905, USA
Surgery 136:1107-15. 2004Injury to the recurrent laryngeal nerve (RLN) is a rare complication of initial thyroid and parathyroid surgery, but the prevalence is much higher in the reoperative setting...
- Quantitative estimation of the recurrent laryngeal nerve irritation by employing spontaneous intraoperative electromyographic monitoring during anterior cervical discectomy and fusionVasilios G Dimopoulos
Department of Neurosurgery, Medical Center of Central Georgia, School of Medicine, Mercer University, Macon, GA, USA
J Spinal Disord Tech 22:1-7. 2009..Prospective, clinical study...
- Effect of recurrent laryngeal nerve section on the laryngeal muscles of adult rabbitsMichael J Shinners
Department of Otolaryngology, University of Minnesota, Rm 374 Lions Research Building, 2001 6th Street SE, Minneapolis, MN 55455, USA
Otolaryngol Head Neck Surg 134:413-8. 2006To examine the effect of recurrent laryngeal nerve section on myonuclear addition and myofiber remodeling in adult rabbit laryngeal muscles.
- Recurrent laryngeal nerve: a plexus rather than a nerve?Claudio R Cernea
Department of Head and Neck Surgery, University of Sao Paulo Medical School, Sao Paulo, Brazil
Arch Otolaryngol Head Neck Surg 135:1098-102. 2009To analyze the frequency of extralaryngeal branching (ELB) of the recurrent laryngeal nerve (RLN) in a consecutive series of patients undergoing thyroidectomy by the same group of surgeons during an extended period and to compare our ..
- Ansa-RLN reinnervation for unilateral vocal fold paralysis in adolescents and young adultsMarshall E Smith
Division of Otolaryngology, Head and Neck Surgery, Primary Children s Medical Center, University of Utah School of Medicine, The University of Utah, 3C 120 SOM, 50N Medical Dr, Salt Lake City, UT 84132, United States
Int J Pediatr Otorhinolaryngol 72:1311-6. 2008..To assess the outcomes of management of unilateral vocal fold paralysis by ansa-RLN reinnervation in a series of patients ages 12-21...
- Functional modulation of satellite cells in long-term denervated human laryngeal muscleChen Donghui
Department of Otorhinolaryngology Head and Neck Surgery, Changhai Hospital, Second Military Medical University, Shanghai, China
Laryngoscope 120:353-8. 2010..To evaluate the effects of long-term denervation on satellite cells (SCs) as myogenic stem cells in human posterior cricoarytenoid (PCA) muscle...
- [The lobe of Zuckerkandl: an important sign of recurrent laryngeal nerve]Mario Costanzo
Dipartimento di Scienze Chirurgiche, Trapianti d Organo e Tecnologie avanzate, P O Garibaldi, Cattedra e Servizio di Endocrinochirurgia, Universita di Catania
Ann Ital Chir 76:337-40; discussion 340-1. 2005..The identification of Zuckerkandl's tuberculum could reduce the lesions to the recurrent laryngeal nerve, for constant relationship between the recurrent laryngeal nerve and tuberculum.
- Immediate recurrent laryngeal nerve reconstruction and vocal outcomeEiji Yumoto
Department of Otolaryngology Head and Neck Surgery, Graduate School of Medicine, Kumamoto University, Kumamoto, Japan
Laryngoscope 116:1657-61. 2006The objective of this prospective study was to assess the long-term effects of immediate reconstruction of the recurrent laryngeal nerve (RLN) during thyroid cancer extirpation on postoperative phonatory function.
- Intrinsic muscles and distribution of the recurrent laryngeal nerve in the pig larynxMelanie J Knight
Division of Surgery of the Department of Anatomy and Clinical Medicine, University of Bristol, Bristol, UK
Eur Arch Otorhinolaryngol 262:281-5. 2005..We aimed to define the macroscopic anatomy of the intrinsic muscles and the course of the recurrent laryngeal nerve (RLN) in the pig larynx. Twelve large white pig larynges were used...
- Ansa cervicalis-to-recurrent laryngeal nerve anastomosis for unilateral vocal fold paralysis: experience of a single institutionRobert R Lorenz
Head and Neck Institute, Cleveland Clinic, Cleveland, Ohio, USA
Ann Otol Rhinol Laryngol 117:40-5. 2008One treatment option for unilateral vocal fold paralysis (UVFP) is ansa cervicalis-to-recurrent laryngeal nerve (ansa-RLN) anastomosis to provide reinnervation to the affected vocal fold...
- Results of ansa to recurrent laryngeal nerve reinnervationWalter T Lee
Department of Otolaryngology, Head and Neck Surgery, Cleveland Clinic, Cleveland, OH 44195, USA
Otolaryngol Head Neck Surg 136:450-4. 2007We sought to describe the results of ansa cervicalis to recurrent laryngeal nerve (ansa-RLN) reinnervation for unilateral vocal fold paralysis.
- Non-recurrent laryngeal nerve related to thyroid surgery: report of three casesC Page
Department of ENT and Head and Neck Surgery, University Hospital of Amiens, Amiens, France
J Laryngol Otol 122:757-61. 2008We aimed to highlight a rare anatomical variation involving the recurrent laryngeal nerve, and to emphasise its implications for thyroid surgery.
- Neurorrhaphy of the recurrent laryngeal nerveFong Fu Chou
Department of Surgery, Chang Gung Memorial Hospital at Kaohsiung, Chang Gung University, Kaohsiung Hsien, Taiwan, ROC
J Am Coll Surg 197:52-7. 2003It has been controversial to anastomose the severed recurrent laryngeal nerve after transection because when severed recurrent nerves are directly anastomosed, the vocal cords do not regain normal movements and are fixed in the median...
- Unilateral recurrent laryngeal nerve neuropraxia following placement of a ProSeal laryngeal mask airway in a patient with CREST syndromeY Kawauchi
Department of Anesthesiology and Critical Care Medicine, Tokyo Medical and Dental University, Tokyo, Japan
Acta Anaesthesiol Scand 49:576-8. 2005We report a severe unilateral recurrent laryngeal nerve neuropraxia following use of the ProSeal laryngeal mask airway (PLMA) in a 71-year-old female patient with CREST syndrome...
- The inferior non recurrent laryngeal nerve: a major surgical risk during thyroidectomyT Defechereux
Department of Transplant and Endocrine Surgery, CHU du Sart Tilman, University of Liege, Belgium
Acta Chir Belg 100:62-7. 2000..and 1997 for at least right thyroid lobe excision or parathyroid glands exploration, 20 cases of non recurrent laryngeal nerve were identified (0.79%)...
- Recurrent laryngeal nerve identification and assessment during thyroid surgery: laryngeal palpationGregory W Randolph
Department of Otology and Laryngology, Harvard Medical School, 243 Charles Street, Boston, Massachusetts 02114, USA
World J Surg 28:755-60. 2004Electrical identification and monitoring of the recurrent laryngeal nerve (RLN) has been proposed as an adjunct to standard visual identification of the nerve during thyroid and parathyroid surgery...
- The "innocent bystander" complications following esophagectomy: atrial fibrillation, recurrent laryngeal nerve injury, chylothorax, and pulmonary complicationsSeth Force
The Emory Clinic, Emory School of Medicine, 1365 Clifton Road NE, 2nd Floor, Suite 2100, Atlanta, GA 30322, USA
Semin Thorac Cardiovasc Surg 16:117-23. 2004
- Thyroid fine needle cytology complicated by recurrent laryngeal nerve palsy and unnecessary radical surgeryS J Hulin
Department of General Surgery, North Hants Hospital, Basingstoke, UK
J Laryngol Otol 120:970-1. 2006..We present the first report of recurrent laryngeal nerve palsy arising as a complication of thyroid nodule FNAC...
- Intraoperative electromyographic assessment of recurrent laryngeal nerve stress and pharyngeal injury during anterior cervical spine surgery with Caspar instrumentationW S Jellish
Department of Anesthesiology, Loyola University Medical Center, Maywood, Illinois 60153, USA
J Neurosurg 91:170-4. 1999b>Recurrent laryngeal nerve (RLN) injury occurs after anterior cervical spine procedures...
- Recurrent laryngeal nerve injury caused by a laryngeal mask airwayD Lowinger
Department of Anaesthesia, St Luke s Hospital, Sydney, New South Wales
Anaesth Intensive Care 27:202-5. 1999....
- Recurrent laryngeal nerve palsy during anterior cervical spine surgery: a prospective studyAxel Jung
Departments of Neurosurgery and Ear, Nose, and Throat Surgery, Rheinische Friedrich Wilhelms Universitat Bonn, Germany
J Neurosurg Spine 2:123-7. 2005b>Recurrent laryngeal nerve (RLN) palsy is a well-known complication of cervical spine surgery. Nearly all previous studies were performed without laryngoscopy in asymptomatic patients...
- Recurrent laryngeal nerve palsy after thyroidectomy with routine identification of the recurrent laryngeal nerveFeng Yu Chiang
Department of Otolaryngology Head and Neck Surgery, Kaohsiung Medical University, Chung Ho Memorial Hospital, Kaohsiung, Taiwan
Surgery 137:342-7. 2005The aim of this study was to assess the risk of recurrent laryngeal nerve palsy (RLNP) after thyroidectomy with routine identification of the recurrent laryngeal nerve (RLN) during the operation.
- Recurrent laryngeal nerve injury: a complication of central venous catheterization-a case reportMahmoud Salman
University Department of Surgery, The Royal Free Hospital NHS Trust, London, UK
Angiology 55:345-6. 2004..Further investigations did not show any cause for this complication. Therefore, the hoarseness and vocal cord paralysis was attributed to trauma associated with the insertion of the Hickman line...
- An unusual course of the left recurrent laryngeal nerveAmir A Khaki
Department of Neurosurgery and Anatomy, Tabriz University of Medical Sciences, Tabriz, Iran
Clin Anat 20:344-6. 2007Variation in the course of the left recurrent laryngeal nerve is seemingly very rare...
- Laryngeal reinnervationRandal C Paniello
Department of Otolaryngology, Washington University School of Medicine, 660 South Euclid, Campus Box 8115, St Louis, MO 63110, USA
Otolaryngol Clin North Am 37:161-81, vii-viii. 2004..The nerve function(s) to be restored may be those of the recurrent laryngeal nerve or its subdivisions, those of the superior laryngeal nerve, or both, and they may be motor or sensory...
- On the incidence, cause, and prevention of recurrent laryngeal nerve palsies during anterior cervical spine surgeryR I Apfelbaum
Department of Neurosurgery, University of Utah School of Medicine, Salt Lake City, Utah 84132, USA
Spine (Phila Pa 1976) 25:2906-12. 2000..A retrospective review of contemporaneously acquired clinical data supplemented by experimental cadaver dissection...
- Relative direction and position of recurrent laryngeal nerve for anatomical configurationMi Sun Lee
Catholic Institute for Applied Anatomy, Department of Anatomy, College of Medicine, The Catholic University of Korea, 505 Banpo Dong, Seocho Gu, Seoul 137 701, Republic of Korea
Surg Radiol Anat 31:649-55. 2009The present study aims to describe the course of the recurrent laryngeal nerve (RLN) using the tracheoesophageal groove (TEG) at the cricothyroid joint as a base line, and the configuration of RLN and inferior thyroid artery (ITA) for ..
- Neuromonitoring in thyroid surgery: prospective evaluation of intraoperative electrophysiological responses for the prediction of recurrent laryngeal nerve injuryMichael Hermann
Department of Surgery, Kaiserin Elisabeth Spital, University of Vienna, Vienna, Austria
Ann Surg 240:9-17. 2004..We evaluated the ability of neuromonitoring to predict postoperative outcome in patients undergoing thyroid surgery for different indications...
- The recurrent laryngeal nerve and the inferior thyroid artery--anatomical variations during surgeryOzer Makay
Department of General Surgery, School of Medicine, Ege University, Bornova, Izmir, 35100, Turkey
Langenbecks Arch Surg 393:681-5. 2008..Recognition of variations of the inferior laryngeal nerve is essential. We aimed to investigate the relationship of the inferior laryngeal nerve with the inferior thyroid artery...
- Intraoperative monitoring of the recurrent laryngeal nerve in 151 consecutive patients undergoing thyroid surgeryT M Hemmerling
Department of Anesthesiology, University Erlangen Nuremberg, Erlangen, Germany
Anesth Analg 93:396-9 , 3rd contents page. 2001We present a technique of intraoperative monitoring of the recurrent laryngeal nerve using a surface electrode attached to a routine endotracheal tube...
- Lateral mobilization of the recurrent laryngeal nerve to facilitate tracheal surgery in patients with thyroid cancer invading the trachea near Berry's ligamentAkira Miyauchi
Department of Surgery, Kuma Hospital, 8 2 35 Shimoyamate dori, Chuo Ku, Kobe 650 0011, Japan
World J Surg 31:2081-4. 2007Thyroid cancer often invades the trachea and the recurrent laryngeal nerve (RLN) at or near Berry's ligament, which fixes the thyroid gland to the trachea...
- [Bilateral recurrent laryngeal nerve paralysis]H E Eckel
Klinik für Hals Nasen Ohrenkrankheiten, Universitat zu Koln, Joseph Stelzmann Strasse 9, 50924 Köln
HNO 49:166-79. 2001..Inevitably, voice quality is traded for airway normalisation. However, modern surgical techniques accomplish very tolerable phonatory results. Timing, type and extent of surgery need to be customised for every patient individually...
- Electromyographic findings in recurrent laryngeal nerve reinnervationNicole Maronian
Department of Otolaryngology Head and Neck Surgery, University of Washington, Seattle, Washington, USA
Ann Otol Rhinol Laryngol 112:314-23. 2003..In all patients, preoperative EMG revealed a dense, complete denervation of the affected recurrent laryngeal nerve. No movement was noted on videostroboscopy with persistent glottic gap...
- [Recurrent laryngeal nerve injury following thyroid surgery]Jerzy Jamski
III Katedra Chirurgii Ogólnej, Collegium Medicum, Uniwersytetu Jagiellonskiego w Krakowie
Przegl Lek 61:13-6. 2004The permanent lesion of damaged recurrent laryngeal nerve (RLN) often manifests as an irreversible dysfunction of phonation and is the most common complication following thyroid surgery. The frequency of this complication ranges from 0...
- Recurrent laryngeal nerve paralysis due to subclinical Lyme borreliosisT Karosi
Department of Otolaryngology Head and Neck Surgery, University Medical School of Debrecen, Debrecen, Hungary
J Laryngol Otol 124:336-8. 2010We report an extremely rare case of recurrent laryngeal nerve paralysis due to subclinical Lyme borreliosis.
- Recurrent laryngeal nerve regeneration by tissue engineeringShin Ichi Kanemaru
Department of Otolaryngology Head and Neck Surgery, Kyoto University Faculty of Medicine, Kyoto, Japan
Ann Otol Rhinol Laryngol 112:492-8. 2003The recurrent laryngeal nerve (RLN) does not regenerate well after it has been cut, and no current surgical methods achieve functional regeneration...
- Concomitant type I thyroplasty and thoracic operations for lung cancer: preventing respiratory complications associated with vagus or recurrent laryngeal nerve injuryT Mom
Departments of Otolaryngology and Head and Neck Surgery, University Hospital Center, University of Auvergne, Clermont-Ferrand, France
J Thorac Cardiovasc Surg 121:642-8. 2001..CONCLUSIONS: Type I thyroplasty and thoracic operation can be advantageously associated in case of injury to laryngeal motor innervation to prevent postoperative swallowing disability and dramatic respiratory complications...
- [Intraoperative neurophysiological monitoring (IONM) of the recurrent laryngeal nerve and microdissection. Surgical techniques for decreasing the risk of recurrent laryngeal nerve paralysis]H J Neumann
Klinik für Hals Nasen Ohrenheilkunde, Kopf und Halschirurgie Städtisches Krankenhaus Martha Maria Halle Dölau gGmbH, Akademisches Lehrkrankenhaus, Medizinischen Fakultat, Martin Luther Universitat Halle Wittenberg
Laryngorhinootologie 79:290-6. 2000Frequently numerous recurrent laryngeal nerve injuries occur after operations on the thyroid glands. Compared with postoperative permanent hypocalcemia, unilateral and especially double-side recurrent paresis pose serious complication...
- [Recurrent laryngeal nerve injury after thyroidectomy and preoperative nerve monitoring]M Ould-Ahmed
Ann Fr Anesth Reanim 25:909-10. 2006
- Complications in thyroid surgery for carcinoma: one institution's surgical experienceAntonio Toniato
Department of Surgical Pathology, Medical and Surgical Sciences, Via Giustiniani 2, Padua 35128, Italy
World J Surg 32:572-5. 2008..The purpose of this study was to evaluate the factors influencing morbidity after total thyroidectomy for carcinoma, such as the histotype, the extension of surgery, the primary surgery versus reoperation, and the surgeon's experience...
- Total thyroidectomy for the treatment of thyroid diseases in an endemic areaEvangelos P Misiakos
3rd Department of Surgery, University of Athens School of Medicine, Attikon University Hospital, Athens, Greece
South Med J 99:1224-9. 2006..In this retrospective study, we analyzed the complications of thyroid surgery according to the operative technique used in our department...
- Risk factors for transient vocal cord palsy after thyroidectomyJ J Sancho
Endocrine Surgery Unit, Department of Surgery, Hospital del Mar, Barcelona, Spain
Br J Surg 95:961-7. 2008Transient recurrent laryngeal nerve palsy affects to 5-10 per cent of patients after extracapsular thyroidectomy...
- [Value of the intraoperative neuromonitoring in surgery for thyroid cancer in identification and prognosis of function of the recurrent laryngeal nerves]Marcin Barczynski
Department of Endocrine Surgery, 3rd Chair of General Surgery, Jagiellonian University College of Medicine, Krakov
Endokrynol Pol 57:343-6. 2006..The aim of this study was both, to evaluate the usefulness of the method of neuromonitoring in intraoperative identification of the RLN and to estimate its value in the prognosis of postoperative RLN function in patients operated for TC...
- Recurrent laryngeal nerve injury and preservation in thyroidectomyBulent Aytac
Department of General Surgery, Gazi University Faculty of Medicine, Besevler, Ankara, Turkey
Saudi Med J 26:1746-9. 2005We aim to evaluate the rates of recurrent laryngeal nerve (RLN) injury after thyroidectomy and to put forward the factors influencing the risk of RLN injury during thyroid surgery.
- Nimodipine and microsurgery induced recovery of the vocal cord after recurrent laryngeal nerve resectionP Mattsson
Institution of Clinical Neuroscience, Section of Neurosurgery, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden
Laryngoscope 115:1863-5. 2005Transection of the recurrent laryngeal nerve leads to permanent palsy of the vocal cord. Experimental studies have confirmed that nimodipine increases the pace of axonal regeneration...
- Clinical implementation of endoscopic thyroidectomy in selected patientsDavid J Terris
Department of Otolaryngology Head and Neck Surgery, Medical College of Georgia, Augusta, Georgia, USA
Laryngoscope 116:1745-8. 2006..Systematic investigation of minimal access thyroid compartment surgery combined with the advent of several key new technologies has culminated in the implementation of endoscopic thyroidectomy in specific clinical situations...
- Thyroid surgery and recurrent laryngeal nerve monitoringS Bailleux
Department of ENT and Maxillofacial Surgery, Pasteur Hospital, Nice, France
J Laryngol Otol 120:566-9. 2006b>Recurrent laryngeal nerve paralysis is a much-dreaded complication of thyroid surgery.
- Vocal fold immobility after thyroidectomy with intraoperative recurrent laryngeal nerve monitoringIrene de Pedro Netto
Head and Neck Surgery and Otorhinolaryngology Department, Hospital do Cancer A C Camargo, Sao Paulo, Brazil
Sao Paulo Med J 125:186-90. 2007Intraoperative nerve monitoring has emerged as a valuable tool to facilitate recurrent laryngeal nerve identification during thyroid surgery, thereby avoiding its injury...
- [Total videoendoscopic thyroid resection by the axillobilateral breast approach. Operative method and first results]M W Strik
Klinik für Allgemein und Viszeralchirurgie, Zentrum für Minimal Invasive Chirurgie, Helios Klinikum Berlin Buch, Hobrechtsfelder Chaussee 100, 13125, Berlin
Chirurg 78:1139-44. 2007..The axillobilateral breast approach (ABBA) is a procedure allowing thyroid resection without scarring at the neck. We operated on a series of 26 patients with this technique...
- Dynamic Vocal Fold Abduction for Bilateral ParalysisMichael Broniatowski; Fiscal Year: 2006..It can follow as a complication of thyroid surgery, other trauma to the recurrent laryngeal nerve in the neck, base of skull or chest, by motor vehicle or other accidents, compression by lung or thyroid ..
- REHABILITATION OF THE PARALYZED LARYNXDavid Zealear; Fiscal Year: 2001..The effects of chronic FES on the extent and quality of PCA reinnervation following Recurrent Laryngeal Nerve (RLN) section and/or repair will be determined using physiological observations of laryngeal behaviors, ..
- Medialization VS. Reinnervation For Vocal Cord ParalysisJay Piccirillo; Fiscal Year: 2004Unilateral vocal fold paralysis (UVFP) is caused by injury to the recurrent laryngeal nerve. Patients with UVFP may have significant impairment of vocal cord function, including a breathy paralytic dysphonia...
- Development of Voice Neural Prosthesis TechnologyRobert Hillman; Fiscal Year: 2007..from both normally innervated strap muscles and from strap muscles that have been reinnervated by the recurrent laryngeal nerve. The signals will be detected using surface EMG electrodes and will be processed by a DSP-based system ..
- Dysphagia and Recovery After Vagal or Laryngeal Nerve InjuryRebecca Z German; Fiscal Year: 2010..of the impact of three independent, unilateral nerve injuries, superior laryngeal nerve (SA1), recurrent laryngeal nerve (SA2) and proximal vagus (SA3), on swallowing in an infant pig model...
- Human Laryngeal Pacing for AspirationMichael Broniatowski; Fiscal Year: 2005..receive a stimulator implanted on the chest wall, linked to an electrode passed around the ipsilateral recurrent laryngeal nerve. Aspiration will be prevented by voluntary triggering glottic closure from a switch on an external ..
- PHONATION AND PHONATORY CONTROL IN VOCAL TREMORSMarshall Smith; Fiscal Year: 2002..The experimental phase consists of studies of neuromuscular and respiratory input to the larynx. This information about vocal tremor will be applied to model simulations with the use of physiological signals as input model parameters. ..
- Electrode Array Reanimation of the Paralyzed LarynxMarshall Smith; Fiscal Year: 2006..The hypothesis driving this project is that an implanted electrode array in the peripheral recurrent laryngeal nerve (RLN) can selectively stimulate laryngeal adductor muscles and abductor muscles...
- Limbic & Motor System Interaction in Laryngeal FunctionDouglas Van Daele; Fiscal Year: 2007..It will promote a better understanding of how speech is acquired and generated at the cortical level, of voice disorders such as spasmodic dysphonia, of the focal dystonias, and of speech recovery after brain injury. ..
- SELECTIVE ADDUCTOR RECOVERY AFTER LARYNGEAL NERVE INJURYRandal C Paniello; Fiscal Year: 2010Vocal fold paralysis occurs when the recurrent laryngeal nerve (RLN) is injured, frequently during surgery in the neck or chest...
- Reflexes and Supraesophageal Consequences of Reflux DiseaseBrendan J Canning; Fiscal Year: 2010..This research may also help identify novel therapeutic strategies for treating both GERD and chronic cough. ..
- Computer-Based Tools for Medialization LaryngoplastySteven Bielamowicz; Fiscal Year: 2007..abstract_text> ..
- AUTONOMIC REGULATION OF AIRWAY SMOOTH MUSCLE TONEBRENDAN CANNING; Fiscal Year: 2001..It is anticipated that this information will improve our understanding of the role of the autonomic innervation of the healthy and diseased lung. ..
- KININS AS MEDIATORS OF HUMAN REACTIONSBRENDAN CANNING; Fiscal Year: 2003..These rigorous studies will not only clarify the role of BK in airway diseases, but will also have broader relevance by providing new and important insights into how neural function is altered in asthma and rhinitis. ..
- Reflexes and Supraesophageal Consequences of Reflux DiseaseBRENDAN CANNING; Fiscal Year: 2007..This research may also help identify novel therapeutic strategies for treating both GERD and chronic cough. ..