How blue lining the recurrent laryngeal nerve can aid in re-operative surgery?

The recurrent laryngeal nerve (RLN), is one of the main structures at risk of injury causing vocal cord paralysis during head and neck surgery, especially during thyroid or parathyroid surgery, central neck dissection and upper oesophageal sphincter surgery. We describe the systematic use of marking...

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Veröffentlicht in:European annals of otorhinolaryngology, head and neck diseases head and neck diseases, 2022-03, Vol.139 (2), p.95-97
Hauptverfasser: Sabban, D., Grislain, N., Cosseron, S., Gasne, C., Périé, S.
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container_issue 2
container_start_page 95
container_title European annals of otorhinolaryngology, head and neck diseases
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creator Sabban, D.
Grislain, N.
Cosseron, S.
Gasne, C.
Périé, S.
description The recurrent laryngeal nerve (RLN), is one of the main structures at risk of injury causing vocal cord paralysis during head and neck surgery, especially during thyroid or parathyroid surgery, central neck dissection and upper oesophageal sphincter surgery. We describe the systematic use of marking of the RLN using non-resorbable blue polypropylene suture after its localisation, just inside its penetration below the cricopharyngeal muscle, to help identify the nerve for cases of re-operative surgery in this area. This specific marking technique could facilitate subsequent preservation of the nerve and reduce nerve injury risk in cases of planned or unexpected future operations, as well as emergency surgery due to postoperative complications. We apply this technique simultaneously with intra-operative laryngeal neuromonitoring. This method is safe and easy to perform.
doi_str_mv 10.1016/j.anorl.2021.05.007
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source MEDLINE; Elsevier ScienceDirect Journals; EZB-FREE-00999 freely available EZB journals
subjects Humans
Inferior laryngeal nerve
Intraoperative laryngeal nerve monitoring
Parathyroid surgery
Recurrent laryngeal nerve
Recurrent Laryngeal Nerve - physiology
Recurrent Laryngeal Nerve Injuries - complications
Recurrent Laryngeal Nerve Injuries - prevention & control
Reoperation
Staining and Labeling
Thyroid Gland
Thyroid surgery
Thyroidectomy - adverse effects
Thyroidectomy - methods
Vocal cord paralysis
Vocal Cord Paralysis - etiology
Vocal Cord Paralysis - prevention & control
title How blue lining the recurrent laryngeal nerve can aid in re-operative surgery?
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