ArticleEndocrine2018
A functional assessment of anatomical variants of the recurrent laryngeal nerve during thyroidectomies using neuromonitoring.
Article in Endocrine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.
- Surgical anatomy of the recurrent laryngeal nerve: a systematic review and meta-analysis of variants.Langenbeck's archives of surgery · 2026Pooled it
- Prospective anatomical study to determine the site of insertion of recurrent laryngeal nerve into the larynx.Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery · 2020Trial
- Preventing Laryngeal Nerve Palsy During Thyroidectomies: A Non-systematic Review of the Surgical Anatomy Literature.Cureus · 2025Review
- Changes in thyroid surgery over last 25 years.Scientific reports · 2025Article
- Impact of thyroid carcinoma invasion of recurrent laryngeal nerve on cervical lymph node metastasis.Endocrine · 2024Article
- Current Knowledge on the Use of Neuromonitoring in Thyroid Surgery.Biomedicines · 2024Review
- Variations in Recurrent Laryngeal Nerve in Thyroidectomy.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2023Article
- Recurrent laryngeal nerve's course running anteriorly to a thyroid tumor.Thyroid research · 2023Article
- Intraoperative neuromonitoring of the recurrent laryngeal nerve is indispensable during complete endoscopic radical resection of thyroid cancer: A retrospective study.Laryngoscope investigative otolaryngology · 2022Article
- An atypical bilateral trifurcation of recurrent laryngeal nerve.BMC surgery · 2022Article
- Seeing Is Not Believing: Intraoperative Nerve Monitoring (IONM) in the Thyroid Surgery.Indian journal of surgical oncology · 2022Review
- [Maximum dose of continuous infusion of mivacurium for thyroid surgery under total intravenous anesthesia: a sequential trial of monitoring neurological function in 30 patients].Nan fang yi ke da xue xue bao = Journal of Southern Medical University · 2021Article
- The Most Common Anatomical Variation of Recurrent Laryngeal Nerve: Extralaryngeal Branching.Sisli Etfal Hastanesi tip bulteni · 2021Article
- Utility of intraoperative neuromonitoring in detecting recurrent nerve's anatomical anomalies during thyroidectomy.Endocrine · 2020Article
- Intraoperative neuromonitoring in traditional and miniinvasive thyroidectomy. A single center experience in 1652 nerve at risk.Acta bio-medica : Atenei Parmensis · 2020Article
- Intraoperative intermittent neuromonitoring of inferior laryngeal nerve and staged thyroidectomy: our experience.Endocrine · 2018Article
- Additions of neural monitoring for thyroid surgery.Endocrine · 2018Article
- Article
- Nonrecurrent Laryngeal Nerve: Precise Detection by Electrophysiological Nerve Monitoring.Cureus · 2018Article
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5 authors at 2 institutions in 1 country.
Funding
Abstract
purposeThe aim of the study was to assess the usefulness of intraoperative neuromonitoring (IONM) in identifying anatomical variants of the recurrent laryngeal nerve (RLN) during thyroidectomies, with emphasis on the nerve's relationship to the inferior thyroid artery (ITA), Zuckerkandl's tubercle, nonrecurrent laryngeal nerves (NRLNs), and extralaryngeal bifurcation.
methodsA total of 128 subjects undergoing surgery for thyroid disorders were enrolled in the study, and the course and anatomical variants of RLN were assessed with IONM application.
resultsThe standard relationship between RLN and ITA was that the artery and nerve intersect (100%). The right RLN was below the ITA in 76.67% of the patients, and the left RNL was below it in 75.81%. There were no statistically significant differences in the relationship between RLN and ITA on the two sides; and gender did not significantly influence the relationship between the RLN and ITA on either side. In one patient a nonrecurrent inferior laryngeal nerve was present on the right side (0.83%). RLN bifurcation was observed in 33.33% of the patients on the right and in 19.35% on the left side; the difference between sides was statistically significant (p < 0.05). Posterior tubercle (Zuckerkandl's tubercle) was observed on the right in 83% of the subjects and on the left in 69%. The age, thyroid volume and body mass index (BMI) did not influence the size of the tumor.
conclusionsThe utilization of IONM of the RLN in thyroid surgery adds a new dimension to the standard of visual nerve identification allowing for functional nerve testing at the most vulnerable area of the dissection: at the level of Berry's ligament, posterior tubercle (Zuckerkandl's tubercle) and crossing of the RLN with the inferior thyroid artery.
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