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Relative Topography of Laryngeal Nerves for Surgical Cruciality: An Observational Cadaveric Study.
Indian J Otolaryngol Head Neck Surg
December 2022
Department of Community Medicine, USM KLE International Medical Programme, Nehru Nagar, Belagavi, Karnataka India.
To observe and evaluate the intricrate relationship of recurrent laryngeal nerve (RLN) and external branch of superior laryngeal nerve (EBSLN) to various anatomical structures in the neck like the inferior thyroid artery (ITA), Berry's ligament (LB), Zuckerkandl's tubercle (ZT) and with the superior thyroid artery (STA) for the knowledge of surgical cruciality during surgeries for thyroid gland diseases. This cadaveric observational study was conducted in the department of Otorhinolaryngology and Head and Neck Surgery with logistic support from Department of Anatomy. Total of 40 fresh frozen latex injected cadavers neck dissection was performed to study anatomical variations of thyroid gland and its related vessels and nerves.
View Article and Find Full Text PDF2022 Zuckerkandl Prize.
J Mol Evol
February 2023
Institute for Genome Sciences and Department of Microbiology and Immunology, University of Maryland School of Medicine, Baltimore, MD, 21201, USA.
Comparative Study of Parathyroid Identification Techniques Using Zuckerkandl's Tubercle Versus Parathyroid Arterial Supply as Intra-Operative Markers.
Indian J Otolaryngol Head Neck Surg
December 2022
Depatment of ENT, Silchar Medical College, Assam, 788014 India.
Thyroid surgeons should be able to identify factors that prevent parathyroid damage. The aim of the study was (i) to compare the effectiveness of using Zuckerkandl's Tubercle (ZT) versus superior thyroid artery (STA) and inferior parathyroid artery (ITA) as markers for identification of superior and inferior parathyroid glands and (ii) to demonstrate a series of detailed, logical and orderly operative steps to identify ZT during thyroidectomy operation. This 1-year prospective observational study was carried out in the Department of Otolaryngology in a tertiary medical institute.
View Article and Find Full Text PDFRelationship of Recurrent Laryngeal Nerve with Inferior Horn of Thyroid Cartilage, Berry's Ligament and Zuckerkandl's Tubercle.
Indian J Otolaryngol Head Neck Surg
October 2022
Department of Anatomy, Faculty of Medicine, Akdeniz University, Dumlupınar Boulevard & Campus, Antalya, 07058 Turkey.
During neck surgery; Zuckerkandl's tubercle, Berry's ligament, the inferior horn of thyroid cartilages have become crucial anatomical landmarks in order to protect the integrity of the recurrent laryngeal nerve. Forty-two male postmortem human cadavers were used. The proximal part of the recurrent laryngeal nerve, before the inferior thyroid artery arises from its source has been observed in 87% inside the tracheoesophageal groove and in 13% running laterally to the trachea.
View Article and Find Full Text PDFIs craniocaudal dissection of recurrent laryngeal nerve safer than lateral approach: a prospective randomized study comparing both techniques by using continuous intraoperative nerve monitoring.
Ann Surg Treat Res
October 2022
Division of Endocrine Surgery, Department of General Surgery, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Article Synopsis
- This study looked at two different ways to reach a nerve during thyroid surgery to see which method is safer.
- It involved 198 patients and measured changes in nerve signals during the surgery.
- The results showed that the craniocaudal approach is safer for certain patients with specific conditions compared to the lateral approach, which had a higher risk of nerve damage.
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