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KMID : 0371320080750060439
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Journal of the Korean Surgical Society
2008 Volume.75 No. 6 p.439 ~ p.442
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Thyroid Papillary Carcinoma with a Non-recurrent Laryngeal Nerve
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Jun Kang-Woong
Won Dae-Youn
Bae Ja-Seong
Sung Ki-Young
Kim Jeong-Soo
Jeon Hae-Myung
Jung Sang-Seol
Park Woo-Chan
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Abstract
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A nonrecurrent laryngeal nerve has a reported incidence of 0.3 to 1.6%, and they mainly occur on the right side of neck during thyroidectomy. We experienced a case of nonrecurrent laryngeal nerve during surgery for papillary thyroid cancer. Total thyroidectomy with central and right lateral node dissection was performed in a 53-year-old female patient for her papillary thyroid cancer. During right central node dissection at the 4th tracheal ring level, the recurrent laryngeal nerve was found as a direct branch from the vagus nerve across the common carotid artery at the posterior aspect and no any other vascular abnormality was found on the operative field. During thyroid surgery, a surgeon should be careful not to damage a nonrecurrrent laryngeal nerve that’s found incidentally. (J Korean Surg Soc 2008;75:439-442)
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KEYWORD
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Thyroid papillary carcinoma, Non-recurrent laryngeal nerve
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