Surgical management of the recurrent laryngeal nerve in thyroidectomy: American Head and Neck Society Consensus Statement

Christopher E Fundakowski^{1

2}, Nathan W Hales^{3

4}, Nishant Agrawal⁵, Marcin Barczyński⁶, Pauline M Camacho⁷, Dana M Hartl⁸, Emad Kandil⁹, Whitney E Liddy¹⁰, Travis J McKenzie¹¹, John C Morris¹², John A Ridge², Rick Schneider¹³, Jonathan Serpell¹⁴, Catherine F Sinclair¹⁵, Samuel K Snyder¹⁶, David J Terris¹⁷, R Michael Tuttle¹⁸, Che-Wei Wu¹⁹, Richard J Wong²⁰, Mark Zafereo²¹, Gregory W Randolph²²

Affiliations

¹ Department of Otolaryngology, Temple University, Philadelphia, Pennsylvania.
² Fox Chase Cancer Center, Philadelphia, Pennsylvania.
³ Department of Otolaryngology, Uniformed Services of the Health Sciences, San Antonio, Texas.
⁴ San Antonio Head and Neck, San Antonio, Texas.
⁵ Department of Surgery, University of Chicago, Chicago, Illinois.
⁶ Department of Endocrine Surgery, Jagiellonian University, Kraków, Poland.
⁷ Department of Endocrinology, Loyola University, Chicago, Illinois.
⁸ Department of Head and Neck Oncology - Institut de Cancérologie Gustave Roussy, Villejuif, France.
⁹ Department of Surgery, Tulane University, New Orleans, Louisiana.
¹⁰ Department of Otolaryngology, Northwestern University, Chicago, Illinois.
¹¹ Department of Surgery, Mayo Clinic, Rochester, Minnesota.
¹² Department of Endocrinology, Mayo Clinic, Rochester, Minnesota.
¹³ Department of General, Visceral, and Vascular Surgery, Martin Luther University Halle-Wittenberg, Halle, Germany.
¹⁴ Department of Surgery, Monash University, The Alfred Hospital, Prahran, Victoria, Australia.
¹⁵ Department of Ear, Nose, and Throat - Head and Neck Surgery, Mount Sinai Health System, New York, New York.
¹⁶ Scott & White Healthcare, Temple Clinic, Temple, Texas.
¹⁷ Department of Otolaryngology, Augusta University, Augusta, Georgia.
¹⁸ Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.
¹⁹ Department of Otolaryngology - Head and Neck Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
²⁰ Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York.
²¹ Department of Head and Neck Surgery, University of Texas MD Anderson Cancer Center, Houston, Texas.
²² Division of Thyroid and Parathyroid Surgery, Department of Otolaryngology Massachusetts Eye and Ear Infirmary, Boston, Massachusetts.

PMID: 29461666
DOI: 10.1002/hed.24928

Review

Surgical management of the recurrent laryngeal nerve in thyroidectomy: American Head and Neck Society Consensus Statement

Christopher E Fundakowski et al. Head Neck. 2018 Apr.

. 2018 Apr;40(4):663-675.

doi: 10.1002/hed.24928. Epub 2018 Feb 20.

Authors

Affiliations

¹ Department of Otolaryngology, Temple University, Philadelphia, Pennsylvania.
² Fox Chase Cancer Center, Philadelphia, Pennsylvania.
³ Department of Otolaryngology, Uniformed Services of the Health Sciences, San Antonio, Texas.
⁴ San Antonio Head and Neck, San Antonio, Texas.
⁵ Department of Surgery, University of Chicago, Chicago, Illinois.
⁶ Department of Endocrine Surgery, Jagiellonian University, Kraków, Poland.
⁷ Department of Endocrinology, Loyola University, Chicago, Illinois.
⁸ Department of Head and Neck Oncology - Institut de Cancérologie Gustave Roussy, Villejuif, France.
⁹ Department of Surgery, Tulane University, New Orleans, Louisiana.
¹⁰ Department of Otolaryngology, Northwestern University, Chicago, Illinois.
¹¹ Department of Surgery, Mayo Clinic, Rochester, Minnesota.
¹² Department of Endocrinology, Mayo Clinic, Rochester, Minnesota.
¹³ Department of General, Visceral, and Vascular Surgery, Martin Luther University Halle-Wittenberg, Halle, Germany.
¹⁴ Department of Surgery, Monash University, The Alfred Hospital, Prahran, Victoria, Australia.
¹⁵ Department of Ear, Nose, and Throat - Head and Neck Surgery, Mount Sinai Health System, New York, New York.
¹⁶ Scott & White Healthcare, Temple Clinic, Temple, Texas.
¹⁷ Department of Otolaryngology, Augusta University, Augusta, Georgia.
¹⁸ Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.
¹⁹ Department of Otolaryngology - Head and Neck Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
²⁰ Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York.
²¹ Department of Head and Neck Surgery, University of Texas MD Anderson Cancer Center, Houston, Texas.
²² Division of Thyroid and Parathyroid Surgery, Department of Otolaryngology Massachusetts Eye and Ear Infirmary, Boston, Massachusetts.

PMID: 29461666
DOI: 10.1002/hed.24928

Abstract

"I have noticed in operations of this kind, which I have seen performed by others upon the living, and in a number of excisions, which I have myself performed on the dead body, that most of the difficulty in the separation of the tumor has occurred in the region of these ligaments…. This difficulty, I believe, to be a very frequent source of that accident, which so commonly occurs in removal of goiter, I mean division of the recurrent laryngeal nerve." Sir James Berry (1887).

Keywords: Ligament of Berry; laryngeal; nerve; recurrent; thyroidectomy.

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Surgical management of the recurrent laryngeal nerve in thyroidectomy: American Head and Neck Society Consensus Statement

Affiliations

Surgical management of the recurrent laryngeal nerve in thyroidectomy: American Head and Neck Society Consensus Statement

Authors

Affiliations

Abstract

Publication types

MeSH terms

LinkOut - more resources

Medical