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Nonrecurrent Laryngeal Nerve Identification and Preservation during Transoral Robotic Thyroidectomy

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Author(s)
Moo Hyun LeeHoon Yub KimJihyoung Cho
Keimyung Author(s)
Lee, Moo HyunCho, Ji Hyoung
Department
Dept. of Surgery (외과학)
Journal Title
Journal of Endocrine Surgery
Issued Date
2018
Volume
18
Issue
3
Keyword
ThyroidectomyRecurrent laryngeal nerveAberrant subclavian artery
Abstract
The nonrecurrent laryngeal nerve (NRLN), a rare, anatomic variation of the recurrent laryngeal nerve, is associated with increased injury risk during thyroid surgery. Here, we report a 44-year-old female presenting with right NRLN, receiving transoral robotic thyroidectomy with intraoperative neuromonitoring (IONM). Ultrasonogram of the patient's thyroid gland revealed a solitary nodule, with fine-needle aspiration cytology, indicating papillary carcinoma. Preoperative computed tomography scan revealed an aberrant right subclavian artery arising from the distal aortic arch, suggesting right NRLN. During transoral robotic hemi-thyroidectomy, IONM identified a NRLN emanating from the right vagus nerve and entering the larynx. The post-operative period was uneventful, and laryngoscopic examination demonstrated normal vocal cord movement with no changes observed in patient voice. This is the first report of transoral robotic thyroidectomy in a patient with NRLN. During transoral thyroidectomy, the right NRLN was easily identified and its integrity was preserved utilizing IONM.
Keimyung Author(s)(Kor)
이무현
조지형
Publisher
School of Medicine (의과대학)
Citation
Moo Hyun Lee et al. (2018). Nonrecurrent Laryngeal Nerve Identification and Preservation during Transoral Robotic Thyroidectomy. Journal of Endocrine Surgery, 18(3), 205–209. doi: 10.16956/jes.2018.18.3.205
Type
Article
ISSN
2508-8459
Source
https://jes-online.org/DOIx.php?id=10.16956/jes.2018.18.3.205
DOI
10.16956/jes.2018.18.3.205
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/42222
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Surgery (외과학)
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