caa a22 4500 475803280 CHVBK 20180406123743.0 cr unu---uuuuu 170329e20000501xx s 000 0 eng 10.1007/s002689910093 doi (NATIONALLICENCE)springer-10.1007/s002689910093 Palpatory Method Used to Identify the Recurrent Laryngeal Nerve during Thyroidectomy [Elektronische Daten] [Fabio Procacciante, Pietro Picozzi, Massimo Pacifici, Stefania Picconi, Sandro Ruggeri, Aldo Fantini, Nicola Basso] Abstract.: The major complication of thyroid surgery, occurring in 1% to 6% of cases, is injury to the recurrent laryngeal nerve (RLN). A simple method to identify the RLN during thyroid surgery is described by the authors. It consists in palpation of the nerve caudally to the inferior pole of the thyroid, after the nerve has been made taut by the upward and medial traction of the thyroid gland. This method was used on 47 human cadavers and 45 patients with benign thyroid diseases. It made it possible to identify the RLN in all of the cadavers and 52 of the 55 identifications during 45 thyroidectomies (in 10 total thyroidectomies the identification was bilateral). Laryngeal motility was normal in all patients at postoperative laryngoscopy. Using the palpation before dissection in the region of the inferior thyroid artery, the traditional viewing method became easier and safer, reducing the risk of injury where it is most likely to occur to the nerve. 2000 by the Société Internationale de Chir, 2000 Procacciante Fabio Department of VII Patologia Chirurgica, Policlinico Umberto I, Università degli Studi di Roma "La Sapienza,” Viale del Policlinico I, 00185 Rome, Italy, IT aut Picozzi Pietro Department of VII Patologia Chirurgica, Policlinico Umberto I, Università degli Studi di Roma "La Sapienza,” Viale del Policlinico I, 00185 Rome, Italy, IT aut Pacifici Massimo Department of VII Patologia Chirurgica, Policlinico Umberto I, Università degli Studi di Roma "La Sapienza,” Viale del Policlinico I, 00185 Rome, Italy, IT aut Picconi Stefania Department of VII Patologia Chirurgica, Policlinico Umberto I, Università degli Studi di Roma "La Sapienza,” Viale del Policlinico I, 00185 Rome, Italy, IT aut Ruggeri Sandro Department of VII Patologia Chirurgica, Policlinico Umberto I, Università degli Studi di Roma "La Sapienza,” Viale del Policlinico I, 00185 Rome, Italy, IT aut Fantini Aldo Department of VII Patologia Chirurgica, Policlinico Umberto I, Università degli Studi di Roma "La Sapienza,” Viale del Policlinico I, 00185 Rome, Italy, IT aut Basso Nicola Department of VII Patologia Chirurgica, Policlinico Umberto I, Università degli Studi di Roma "La Sapienza,” Viale del Policlinico I, 00185 Rome, Italy, IT aut World Journal of Surgery Springer-Verlag 24/5(2000-05-01), 571-573 0364-2313 24:5<571 2000 24 268 https://doi.org/10.1007/s002689910093 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s002689910093 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Procacciante Fabio Department of VII Patologia Chirurgica, Policlinico Umberto I, Università degli Studi di Roma "La Sapienza,” Viale del Policlinico I, 00185 Rome, Italy, IT aut NATIONALLICENCE 700 1- Picozzi Pietro Department of VII Patologia Chirurgica, Policlinico Umberto I, Università degli Studi di Roma "La Sapienza,” Viale del Policlinico I, 00185 Rome, Italy, IT aut NATIONALLICENCE 700 1- Pacifici Massimo Department of VII Patologia Chirurgica, Policlinico Umberto I, Università degli Studi di Roma "La Sapienza,” Viale del Policlinico I, 00185 Rome, Italy, IT aut NATIONALLICENCE 700 1- Picconi Stefania Department of VII Patologia Chirurgica, Policlinico Umberto I, Università degli Studi di Roma "La Sapienza,” Viale del Policlinico I, 00185 Rome, Italy, IT aut NATIONALLICENCE 700 1- Ruggeri Sandro Department of VII Patologia Chirurgica, Policlinico Umberto I, Università degli Studi di Roma "La Sapienza,” Viale del Policlinico I, 00185 Rome, Italy, IT aut NATIONALLICENCE 700 1- Fantini Aldo Department of VII Patologia Chirurgica, Policlinico Umberto I, Università degli Studi di Roma "La Sapienza,” Viale del Policlinico I, 00185 Rome, Italy, IT aut NATIONALLICENCE 700 1- Basso Nicola Department of VII Patologia Chirurgica, Policlinico Umberto I, Università degli Studi di Roma "La Sapienza,” Viale del Policlinico I, 00185 Rome, Italy, IT aut NATIONALLICENCE 773 0- World Journal of Surgery Springer-Verlag 24/5(2000-05-01), 571-573 0364-2313 24:5<571 2000 24 268 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer