TITLE:
Surgical Reports of the Inferior Laryngeal Nerve and the Inferior Thyroid Artery in General Surgery and in ENT
AUTHORS:
Youssouf Sidibé, Abdoulaye Kanté, Bréhima Bengaly, Siaka Diallo, Mariam Daou, Drissa Ouattara, Babou Ba, Bréhima Coulibaly, Birama Togola, Drissa Traoré, Abdoul Wahab Haidara, Boubacar Sanogo, Nouhoum Ongoïba
KEYWORDS:
Anatomy, Inferior Laryngeal Nerve, Recurring Nerve, Thyroid Surgery, Goiter
JOURNAL NAME:
Forensic Medicine and Anatomy Research,
Vol.7 No.1,
January
22,
2019
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.