Yıl: 2018 Cilt: 56 Sayı: 1 Sayfa Aralığı: 78 - 80 Metin Dili: İngilizce DOI: 10.4274/haseki.69885 İndeks Tarihi: 14-05-2019

Trifurcation of Recurrent Laryngeal Nerve: A Case Report

Öz:
Nowadays, thyroidectomy is a frequently performed type ofsurgery. Although thyroid operations are generally performedwithout complications, there may be many anatomic variation andcomplications related with them. Recurrent laryngeal nerve (RLN)paralysis is a frightening complication of thyroid surgery. For preventingthis complication, having a good knowledge and experience aboutthis small anatomic region is necessary. In this paper, we present acase of RLN variation identified in a 36-year-old female patient withmultinodular goiter. Thyroidectomy was decided after examinationsperformed due to palpable swelling in the neck, then, three-branchedleft RLN was found after proper dissection and preserved duringthyroidectomy operation. No complication was observed in the postoperativeperiod and the patient was discharged next day.
Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Üç Dallı Rekürren Laringeal Sinir: Bir Olgu Sunumu

Öz:
Tiroidektomi günümüzde sık olarak uygulanan bir ameliyat çeşididir. Tiroidektomi operasyonları genel olarak komplikasyonsuz sonlanmakla beraber birçok anatomik varyasyon ve bunların neden olduğu komplikasyonlar ile karşılaşılabilir. Rekürren laringeal sinir (RLS) felci tiroid cerrahisinin korkutucu bir komplikasyonudur. Bu komplikasyondan kaçınmak için çok çeşitli varyasyonları içinde bulunduran bu küçük anatomik bölgeye hakim olmak ve yeterli tecrübeye sahip olmak gerekir. Biz bu yazıda 36 yaşında multinodüler guatrlı bir kadın hastada tespit edilen RLS varyasyonunu takdim ettik. Bahsedilen hastada boyunda ele gelen şişlik sonrası yapılan tetkikler neticesinde tiroidektomi kararı verildi ve tiroidektomi operasyonu sırasında tespit edilen üç dallı sol RLS uygun diseksiyon ile bulundu ve korundu. Postoperatif dönemde hastanın komplikasyonu olmadı ve ertesi gün taburcu edildi.
Anahtar Kelime:

Konular: Genel ve Dahili Tıp
Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
  • 1. Gurleyik E. Three variations of the laryngeal nerve in the same patient: a case report. J Med Case Rep 2011;5:266.
  • 2. Chiang FY, Lu IC, Chen HC, et al. Anatomical variations of recurrent laryngeal nerve during thyroid surgery: how to identify and handle the variations with intraoperative neuromonitoring. Kaohsiung J Med Sci 2010;26:575-83.
  • 3. Manoğlu B, Yılmaz EM, Erdoğan A, Özkan MB, Özçiftci VM. Report of a rare case: Double recurrent laryngeal nerve. Ulus Cerrahi Derg 2016;32:298-9.
  • 4. Skandalakis JE, Skandalakis PN, Skandalakis LJ. Cerrahi anatomi ve teknik. İkinci baskı, İstanbul, Nobel Tıp Kitapevi, 2000.
  • 5. Ardito G, Revelli L, D’Alatri L, Lerro V, Guidi ML, Ardito F. Revisited anatomy of the recurrent laryngeal nerves. Am J Surg 2004;187:249-53.
  • 6. Beneragama T, Serpell JW. Extralaryngeal bifurcation of the recurrent laryngeal nerve: a common variation. ANZ J Surg 2006;76:928-31.
  • 7. Beldi G, Kinsbergen T, Schlumpf R. Evaluation of intraoperative recurrent nerve monitoring in thyroid surgery. World J Surg 2004;28:589-91.
  • 8. Makay O, Icoz G, Yilmaz M, Akyildiz M, Yetkin E. The recurrent laryngeal nerve and the inferior thyroid arteryanatomical variations during surgery. Langenbecks Arch Surg 2008;393:681-5.
APA Ulusahin M, ÇEKİÇ A, BODUR M, tomas k, ARSLAN M (2018). Trifurcation of Recurrent Laryngeal Nerve: A Case Report. , 78 - 80. 10.4274/haseki.69885
Chicago Ulusahin Mehmet,ÇEKİÇ ARİF BURAK,BODUR Muhammed Selim,tomas kadir,ARSLAN Mithat Kerim Trifurcation of Recurrent Laryngeal Nerve: A Case Report. (2018): 78 - 80. 10.4274/haseki.69885
MLA Ulusahin Mehmet,ÇEKİÇ ARİF BURAK,BODUR Muhammed Selim,tomas kadir,ARSLAN Mithat Kerim Trifurcation of Recurrent Laryngeal Nerve: A Case Report. , 2018, ss.78 - 80. 10.4274/haseki.69885
AMA Ulusahin M,ÇEKİÇ A,BODUR M,tomas k,ARSLAN M Trifurcation of Recurrent Laryngeal Nerve: A Case Report. . 2018; 78 - 80. 10.4274/haseki.69885
Vancouver Ulusahin M,ÇEKİÇ A,BODUR M,tomas k,ARSLAN M Trifurcation of Recurrent Laryngeal Nerve: A Case Report. . 2018; 78 - 80. 10.4274/haseki.69885
IEEE Ulusahin M,ÇEKİÇ A,BODUR M,tomas k,ARSLAN M "Trifurcation of Recurrent Laryngeal Nerve: A Case Report." , ss.78 - 80, 2018. 10.4274/haseki.69885
ISNAD Ulusahin, Mehmet vd. "Trifurcation of Recurrent Laryngeal Nerve: A Case Report". (2018), 78-80. https://doi.org/10.4274/haseki.69885
APA Ulusahin M, ÇEKİÇ A, BODUR M, tomas k, ARSLAN M (2018). Trifurcation of Recurrent Laryngeal Nerve: A Case Report. Haseki Tıp Bülteni, 56(1), 78 - 80. 10.4274/haseki.69885
Chicago Ulusahin Mehmet,ÇEKİÇ ARİF BURAK,BODUR Muhammed Selim,tomas kadir,ARSLAN Mithat Kerim Trifurcation of Recurrent Laryngeal Nerve: A Case Report. Haseki Tıp Bülteni 56, no.1 (2018): 78 - 80. 10.4274/haseki.69885
MLA Ulusahin Mehmet,ÇEKİÇ ARİF BURAK,BODUR Muhammed Selim,tomas kadir,ARSLAN Mithat Kerim Trifurcation of Recurrent Laryngeal Nerve: A Case Report. Haseki Tıp Bülteni, vol.56, no.1, 2018, ss.78 - 80. 10.4274/haseki.69885
AMA Ulusahin M,ÇEKİÇ A,BODUR M,tomas k,ARSLAN M Trifurcation of Recurrent Laryngeal Nerve: A Case Report. Haseki Tıp Bülteni. 2018; 56(1): 78 - 80. 10.4274/haseki.69885
Vancouver Ulusahin M,ÇEKİÇ A,BODUR M,tomas k,ARSLAN M Trifurcation of Recurrent Laryngeal Nerve: A Case Report. Haseki Tıp Bülteni. 2018; 56(1): 78 - 80. 10.4274/haseki.69885
IEEE Ulusahin M,ÇEKİÇ A,BODUR M,tomas k,ARSLAN M "Trifurcation of Recurrent Laryngeal Nerve: A Case Report." Haseki Tıp Bülteni, 56, ss.78 - 80, 2018. 10.4274/haseki.69885
ISNAD Ulusahin, Mehmet vd. "Trifurcation of Recurrent Laryngeal Nerve: A Case Report". Haseki Tıp Bülteni 56/1 (2018), 78-80. https://doi.org/10.4274/haseki.69885