Premature Division of the Inferior Laryngeal Nerve in Surgery and in ENT and Cervico-Facial Surgery in Mali
- 1 Service of Surgery B. CHU Point G, Bamako, Mali
- 2 Laboratory of Anatomy of the Faculty of Medicine and Odontostomatology, Bamako, Mali
- 3 ENT and Head and Neck Surgery Department, CHU “Mother-Child”, Bamako, Mali
- 4 Service of Neurology, CHU Gabriel Touré, Bamako, Mali
Abstract
The purpose of this study was to study the frequency of premature division of the inferior laryngeal nerve and its consequences in thyroid surgery. Methodology: We realized a forward-looking and retrospective study from January, 1979 till December, 2017 in the service of surgery B to the University hospital of the Point G of Bamako and in the service of ENT and cervico-facial surgery of the CHU “mother-child”, the Luxembourg of Bamako (Mali). All the patients operated in both services for mild goiters were included. Cancers and other thyroid pathologies were not included. The diagnosis of mild goiter was paused by the histological examination realized on all the surgical specimens. Results: On 2109 dissections of the lower laryngeal nerve realized during the surgical operations on the thyroid 95.1% of the cases, the nerve had a single branch; in 4.1% of the cases, the nerve had two branches; and in 0.8% of the cases, the nerve had more than 2 branches. Conclusion: The complications of the thyroid surgery in touch with the hurts of the lower laryngeal nerve are known. However, our study shows that these do not seem to be influenced by the premature division of the lower laryngeal nerve.
- Ongoïba, N., Sidibé, Y.N., Berété, S., Sissoko, F., Traore, A.K. and Koumaré, A.K. (2002) Inferior Laryngeal Nerve: Premature Division. Medical Mali, 3-4, 58-60.
- Lahey, F.H. (1944) Exposure of the Recurrent Laryngeal Nerve in Thyroid Operations. Further Experience. Surgery Gynecology Obstetric, 78, 239-244.
- Morrisson, L.F. (1952) Recurrent Laryngeal Nerve Paralysis. A Revised Conception Based on the Dissection of Hundred Cadavers. Annals of Otolaryngology, 61, 567-592.
- Virno, F. (1959) Synthetic Review and Anatomical Observation on the Elapsed One, on the Variation and on the Relationships of the Inferior Laryngeal Nerve (Recurrent) in the Space Retro Cricoid. Anatomy and Surgery, 1-2, 35-55.
- Bellemain, J. (1971) The Recurring Nerve in the Thyroid Changing Room. Anatomical Study about 50 Cases. Thesis Medicine, Lyon, 181.
- Berlin, D.D. (1935) The Recurrent Laryngeal Nerves in Total Ablation of the Normal Thyroid Gland. Surgery Gynecology Obstetric, 60, 19-26.
- N’Guyen, Mr. (1987) Branches Air Terminals of the Inferior Laryngeal Nerve. Study about 60 Dissections. Thesis Medicine, Grenoble.
- Chayriguet, I. (1993) The Not Recurring Nerve. Danger in Thyroid Surgery Parathyroid (about 6 Cases). Thesis Medicine, Strasbourg, 89.
- Soulet, J. (2000) The Complications Recurrentials of the Surgery of the Thyroid Gland. Thesis Medicine, Poitiers, 97.