Relationship of the recurrent laryngeal nerve to the superior parathyroid gland during thyroidectomy

Michael Persky, Y. Fang, D. Myssiorek

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Design: The relationship of the recurrent laryngeal nerve to the superior parathyroid gland during consecutive thyroidectomies was prospectively evaluated. When one structure was noted, careful dissection was performed to locate the other structure, to preserve their natural anatomical relationship. Patients: In total, 103 consecutive thyroid lobectomies were performed on 73 patients. The distance from the superior parathyroid gland to the recurrent laryngeal nerve was recorded. Results: In 88 cases (88.9 per cent), the superior parathyroid gland was identified within 5 mm of the recurrent laryngeal nerve. In 62 cases (62.6 per cent), the gland was within 1 mm of the recurrent laryngeal nerve. The height of the thyroid lobe was positively associated with the distance between the two structures (p = 0.001), as was the incidence of cancer (p = 0.033). The incidence of recurrent laryngeal nerve paresis was less than 4 per cent. Conclusion: In most cases, the recurrent laryngeal nerve was found in close proximity to the superior parathyroid gland. In a thyroid gland with a large height, or in a cancerous lobe, this relationship is less reliable.

Original languageEnglish (US)
Pages (from-to)368-371
Number of pages4
JournalJournal of Laryngology and Otology
Volume128
Issue number4
DOIs
StatePublished - Apr 2014

All Science Journal Classification (ASJC) codes

  • Otorhinolaryngology

Keywords

  • Anatomy
  • Diagnosis
  • Parathyroid Gland
  • Recurrent Laryngeal Nerve
  • Thyroidectomy

Fingerprint

Dive into the research topics of 'Relationship of the recurrent laryngeal nerve to the superior parathyroid gland during thyroidectomy'. Together they form a unique fingerprint.

Cite this