A rare case: Non-recurrent laryngeal nerve

Abstract

Non-recurrent inferior laryngeal nerve (NRLN) is a very rare nerve variation seen during thyroidectomy. Identification and preservation of this nerve is crucial for post-operative life of the patient. In this paper, we presented a 55-year old female patient with right NRLN identified during operation performed due to multinodular goiter (MNG). This presented case was intraoperatively identified as NRLN during right lobe dissection and it was preserved through its course until entrance to the larynx with careful dissection. Patient was discharged at first postoperative day without problem during postoperative monitoring. Anatomic variations may cause nerve damage; therefore identification and preservation with careful dissection have utmost importance.

Keywords

• Inferior
• non-recurrent
• laryngeal nerve
• thyroidectomy
• nerve exploration

Nadir görülen bir olgu: nonrekürren laringeal sinir

Abstract

Nonrekürren inferior laryngeal sinir (NRLS) tiroidektomi operasyonlarında çok nadir olarak rastlanan bir sinir varyasyonudur. Bu sinirin tanınarak korunması hastanın operasyon sonrası yaşamı için çok önemlidir. Bu yazıda 55 yaşında bayan hastada multinodüler guatr (MNG) nedeni ile yapılan operasyonda tespit edilen sağ NRLS olgusu sunulmuştur. Sunulan vakada sağ lop diseksiyonu sırasında NRLS intraoperatif tanındı ve dikkatlice yapılan diseksiyon ile larinkse giriş yerine kadar korundu. Postoperatif takiplerinde problemi olmayan hasta operasyonun ertesi günü taburcu edildi. Anatomik varyasyonlar sinir hasarına sebep olabilirler; bu nedenle hatırlanmaları ve dikkatli diseksiyon ile korunmaları çok önemlidir.

Keywords

• Inferior
• nonrekürren
• laringeal sinir
• tiroidektomi
• sinir eksplorasyonu

References

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