ANATOMY VARIATIONS OF RECURENT LARYNGEAL NERVE IN ADULT VIETNAMESE CADAVERS

Phi Hung Nguyen 1, , Van Hai Duong1, Hoang Vu Nguyen 1
1 University of Medicine and Pharmacy at HCM

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Abstract

Background: Since no researche about the anatomy variations of recurrent laryngeal nerve of the Vietnamese has been conducted. Objectives: the aim of this study is to analyse the relationships of the recurrent laryngeal nerve in adult Vietnamese cadavers. Materials and methods: A series of 60 adult cadavers at the Anantomy Department of Ho Chi Minh Medicine and Pharmacy Univercity is the subjects of the case series study. Results: The results indicate that 119 nerves with 59 at right and 60 at left of 39 males and 21 females cadavers. Age average is 70.69 (ranging from 43 to 93). The recurrent totally takes place 100%. The relationships with esophagus and trachea are 73.95% in tracheal esophageal groof, 25.21% beside trachea, 0.84% beside esophagus. The recurrenct laryngeal nerve passes inferior thyroid artery in 42.02% anterior, 39.50% posterior, 17.64% beweent braches, and 0.84% piercing thyroid tissue. Regarding branches it is found that without branches in 82.36%, 1 branches in 15.12% and 2 branches in 2.52%. Conclusion: The anatomy of recurrent laryngeal nerve of Vietnamese cadavers are of great variations.    

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References

1. Lê Văn Cường, (2013). Giải phẫu học tuyến giáp và tuyến cận giáp. Giải phẫu học người – sách sau đại học, Nhà Xuất Bản Y Học, 503 – 538
2. Trần Ngọc Lương, (2011). Phẫu thuật nội soi tuyến giáp qua 8 năm thực hiện. Phẫu thuật nội soi và nội soi Việt Nam, Tập 1 (2), 5 – 10.
3. Nguyễn Quang Quyền, (1995). Các dây thần kinh sọ, Bài giảng Giải phẫu học Tập 1, Nhà xuất bản Y học, 469 – 471.
4. Trịnh Minh Tranh, Vũ Quang Việt, (2013). Theo dõi và chăm sóc sau mổ: các biến chứng và cách xử trí, Phẫu thuật nội soi tuyến giáp; một số kinh nghiệm, Nhà xuất bản Y học, 89 – 97.
5. Campos B.A, Henriques P.R, (2000). Relationship between the recurrent laryngeal nerve and the inferior thyroid artery: a study in corpses, Rev Hosp Clin Fac Med Sao Paulo, 55(6), 195-200.
6. Chon W.F, Lo C.Y, (2006). Pitfalls in intraoperative neuro-monitoring for predicting recurrent laryngeal nerve function during thyroidectomy, World J Surg, 30, 806 – 812
7. Drall H, Seculla C, Haerting J, (2004). Risk factors of paralysis and functional outcome after recurrent laryngeal nerve monitoring in thyroid surgery, Surg, Vol 136, 1310 - 1322
8. Lore J.M, Medina J.E, (2005). An atlas of Head and Neck, Fourth Edition, Pensylvania Elsevier.
9. Hales N.W, Kamani D, Randolph G.W, (2018). Recurrent laryngeal nerve preservation in thyroid cancer involving the ligament of Berry, Operative Techniques in Otolaryngology, Vol 29 (1), 14 – 18.
10. Matubis J.S, Dumlao K.J.P, Carrillo R.J.C, (2011). The recurrent laryngeal nerve in relation to the inferior thyroid artery in adult Filipino cadavers, Philippine Journal of Otolaryngology – Head and Neck Surgery, Vol 26 (2), 13 – 17
11. John. B, (2004). Thyroid. Text book of surgery, 17th Edi, Elsever Saunders, 947-982
12. Skandalakis J.E, Droulias. C, Harlaftis. N, (1976). The recurrent laryngeal nerve, Am Surg, 42, 629-634
13. Shao T, Qiu W, Yang W, (2016). Anatomical variations of the recurrent laryngeal nerve in Chinese patients: a prospective study of 2,404 patients, Scientific Report, Vol 6.
14. Teksol. S, (2015). Is nerve monitoring required in total thyroidectomy? Cerrahpasa experience, Indian J Surg, 77 (supply 2), 466-476.