Surgical Reports of the Inferior Laryngeal Nerve and the Inferior Thyroid Artery in General Surgery and in ENT
- 1 ENT and Head and Neck Surgery Department CHU “Mother-Child”, The Luxembourg, Bamako, Mali
- 2 Service of Surgery B. CHU Point G, Bamako, Mali
- 3 Laboratory of Anatomy of the Faculty of Medicine and Odontostomatology, Bamako, Mali
- 4 Service of Neurology, CHU Gabriel Touré, Bamako, Mali
Abstract
Aim: The purpose of this study was to determine the frequency of the hurts of the inferior laryngeal nerve, according to its anatomical reports with the inferior thyroid artery during the 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 Teaching Hospital “Mother-Child”, the Luxembourg of Bamako (Mali). All the patients operated in both services for mild goiters were retained. 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 inferior laryngeal nerve realized during the surgical operations on the thyroid, the frequency of lesion of the inferior laryngeal nerve was 1.09% (20 cases) when it passed dorsally with regard to the inferior thyroid artery (1837 cases) and when 4.04%, it was transvascular or prevascular (272 cases). Conclusion: The prevascular route or transvascular of the inferior laryngeal nerve favors its lesion per operating.
- Lubrano, D., Levy-Chazal, N., Araya, Y. and Avisse, C. (2002) Research for the Lower or More Recurring Laryngeal Nerve during a Thyroid Lobectomy. Annals of Surgery, 127, 68-72.
- Rosta, L., Avenia, N. and Bernante, P. (2004) Complications of Thyroid Surgery; Analysis of a Multicentric Study on 14934 Patients Operated in Italy over 5 Years. Word Journal of Surgery, 28, 271-276.
- Kang, A., Grant, C. and Thompson, G. (2002) Current Treatment of Nodular Goiter with Hyperthyroidism (Plummer’s Disease): Surgery versus Radioiodine. Surgery, 132, 916-923. https://doi.org/10.1067/msy.2002.128691
- Sanogo, Z.Z., Koïta, A.K., Koumaré, S., Keïta, S., Saye, Z., Camara, M., et al. (2012) Surgical Care of the Hyperthyroid Goiters in Bamako. Journal of Medicine in Mali, 27, 1-4.
- Koumaré, A.K., Ongoïba, N., Sissoko, F., Berété, S., Traore, A.K., Sidibé, Y., et al. (2002) Inferior Laryngeal Nerve: Anatomy and Operating Hurts. E-Memoire of the Academy of Surgery, 1, 8-11.
- Blondeau, P. (1971) Surgical Reports of the Recurring Nerve and the Thyroid Artery. Journal of Surgery, 102, 397-414.
- Soustelle, J. and Vincent, F. (1970) The Recurrentiel Risk in Thyroid Surgery. Simep Publishing (Editions), Lyon.
- Berlin, D.D. (1935) The Recurrent Laryngeal Nerves in Total Ablation of the Normal Thyroid Gland. Journal of Gynecology and Obstetrics, 60, 19-26.
- Soulet, J. (2000) The Recurrentiel Complications of the Surgery of the Thyroid Body. Thesis Medicine Poitiers, No. 97.