Variant anatomy of non-recurrent laryngeal nerve: when and how should it be taught in surgical residency?

Journal: Langenbeck's archives of surgery
Published Date:

Abstract

INTRODUCTION: While the performance of a thyroidectomy is generally associated with a low risk of injury to the recurrent laryngeal nerve (RLN), the presence of a non-recurrent nerve (NRLN) increases the risk of this complication. Generally, the intraoperative detection via visual appreciation of variant anatomy of the RLN has been regarded as poor, possibly due to a lack of knowledge of both the normal and aberrant anatomy of the RLN.

Authors

  • Victoria Zheng
    Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
  • Reshma Rajeev
    University of Buckingham Medical School, Buckingham, UK.
  • Diluka Pinto
    Division of Endocrine Surgery, National University Hospital, Lower Kent Ridge Road, Buckingham, Singapore.
  • Mechteld Christine de Jong
    Division of Endocrine Surgery, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
  • Dinesh Kumar Sreenivasan
    Department of Anatomy, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
  • Rajeev Parameswaran
    Division of Endocrine Surgery, National University Hospital, Lower Kent Ridge Road, Buckingham, Singapore. surrp@nus.edu.sg.