Surgical Anatomy and Monitoring of the Superior Laryngeal Nerve

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2021
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BARCZYńSKI, M.
SINCLAIR, C. F.
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Barczyński, M.; Cernea, C. R.; Sinclair, C. F.. Surgical Anatomy and Monitoring of the Superior Laryngeal Nerve. In: . SURGERY OF THE THYROID AND PARATHYROID GLANDS: ELSEVIER, 2021. p.316-325.
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The technical aspects of operations on the thyroid gland have changed very little since the original papers by Kocher. Usually, the complication rate of thyroidectomy is very low when an experienced surgeon performs the operation. The most common complications include injury of the recurrent laryngeal nerve (RLN) and hypoparathyroidism. However, injury to the external branch of the superior laryngeal nerve (EBSLN) can occur during the dissection and control of the superior thyroid vessels. This injury causes paralysis of the cricothyroid muscles (CTMs), impairing the production of high tones, and altering the voice’s fundamental frequency; this is especially problematic for women and professional singers. The effects of EBSLN paralysis are difficult to detect during routine postoperative laryngoscopy; however, functional consequences can be disastrous for those people who depend professionally on their voices. Armed with complete knowledge of the anatomic variations of the superior thyroid pole area, and through meticulous dissection of the superior thyroid pedicle, one may avoid such injury. In addition, this chapter will briefly discuss the use of the internal branch of the superior laryngeal nerve (IBSLN) to continuously monitor vocal fold function via the laryngeal adductor reflex (LAR). © 2021 Elsevier Inc. All rights reserved.
Palavras-chave
External Branch of the Superior Laryngeal Nerve (EBSLN), Internal Branch of the Superior Laryngeal Nerve (IBSLN), Intraoperative Nerve Monitoring (IONM), Superior Laryngeal Nerve (SLN), Surgical Anatomy
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https://observatorio.fm.usp.br/handle/OPI/51034
Referências
  1. Kocher, E.T., Indikationen und Resultäte bei Kropfoperation (1907) Chirurgische Operationslehre, , E.T. Kocher,(Eds), 5th ed., Jena: Gustav Fischer
  2. Fort, J.A., Anatomie descriptive et dissection (1892), Paris: Octave Doin
  3. Berlin, D.D., Lahey, F.H., Dissections of the recurrent and superior laryngeal nerves: the relation of the recurrent to the inferior thyroid artery and the relation of the superior to abductor paralysis (1929) Surg Gynecol Obstet., 49, p. 102
  4. Vernetti, L., Studio anatomo-chirurgico sui rapporti della branca esterna del nervo laringeo superiore com il pedunculo vascolare superiore della tiroid (1947) Minerva Chir., 2 (12), pp. 427-432
  5. Durham, C.F., Harrison, T.S., The surgical anatomy of the superior laryngeal nerve (1964) Surg Gynecol Obstet., 118, pp. 38-44
  6. Moosman, D.A., DeWeese, M.S., The external laryngeal nerve as related to thyroidectomy (1968) Surg Gynecol Obstet., 127 (5), pp. 1011-1016
  7. Kambic, V., Zargu, M., Radsel, Z., Topographic anatomy of the external branch of the superior laryngeal nerve: its importance in head and neck surgery (1984) J Laryngol Otol., 98 (11), pp. 1121-1124
  8. Lennquist, S., Cahlin, C., Smeds, S., The superior laryngeal nerve in thyroid surgery (1987) Surgery., 102 (6), pp. 999-1008
  9. Cernea, C.R., Ferraz, A.R., Nishio, S., Dutra, A., Jr., Hojaij, F.C., dos Santos, L.R., Surgical anatomy of the external branch of the superior laryngeal nerve (1992) Head Neck., 14 (5), pp. 380-383
  10. Kark, A.E., Kissin, M.W., Auerbach, R., Meikle, M., Voice changes after thyroidectomy: role of the external laryngeal nerve (1984) Br Med J (Clin Res Ed)., 289 (6456), pp. 1412-1415
  11. Crookes, P.F., Recabaren, J.A., Injury to the superior laryngeal branch of the vagus during thyroidectomy: lesson or myth? (2001) Ann Surg., 233 (4), pp. 588-593
  12. Gregg, R.L., Avoiding injury to the extralaryngeal nerves (1957) Ann Otol Rhinol Laryngol., 66 (3), pp. 656-678
  13. Kirchner, J.Á., Surgically induced disorders of the vocal cords (1964) Conn Med., 28, pp. 24-28
  14. Ferraz, A.R., Toledo, A.C., Aspectos técnicos no tratamento do bócio nodular (1979) Rev Hosp Clin Fac Med Sao Paulo., 34 (2), pp. 88-92
  15. Lekakos, N.L., Miligos, N.D., Tzardis, P.J., Majiatis, S., Patoulis, J., The superior laryngeal nerve in thyroidectomy (1987) Am Surg., 53 (10), pp. 610-612
  16. Teitelbaum, B.J., Wenig, B.L., Superior laryngeal nerve injury from thyroid surgery (1995) Head Neck., 17 (1), pp. 36-40
  17. Loré, J.M., Jr., Kokocharov, S.I., Kaufman, S., Richmond, A., Sundquist, N., Thirty-eight-year evaluation of a surgical technique to protect the external branch of the superior laryngeal nerve during thyroidectomy (1998) Ann Otol Rhinol Laryngol., 107 (12), pp. 1015-1022
  18. Kratz, R.C., The identification and protection of the laryngeal motor nerves during thyroid and laryngeal surgery: a new microsurgical technique (1973) Laryngoscope., 83 (1), pp. 59-78
  19. Friedman, M., Toriumi, D.M., Functional identification of the external laryngeal nerve during thyroidectomy (1986) Laryngoscope., 96 (11), pp. 1291-1292
  20. Friedman, M., Pacella, B.L., Total versus subtotal thyroidectomy: arguments, approaches, and recommendations (1990) Otolaryngol Clin North Am., 23 (3), pp. 413-427
  21. Cernea, C.R., Ferraz, A.R., Furlani, J., Identification of the external branch of the superior laryngeal nerve during thyroidectomy (1992) Am J Surg., 164 (6), pp. 634-639
  22. Timon, C.I., Rafferty, M., Nerve monitoring in thyroid surgery: is it worthwhile? (1999) Clin Otolaryngol., 24 (6), pp. 487-490
  23. Cernea, C.R., Nishio, S., Hojaij, F.C., Identification of the external branch of the superior laryngeal nerve (EBSLN) in large goiters (1995) Am J Otolaryngol., 16 (5), pp. 307-311
  24. Sow, M.L., Koyalta, M., Benchekroun, A., Diop, A., Le nerf laryngé externe dans le chirurgie d’ exérèse thyroidienne: correlations anatomo-chirurgicales à propos de 30 dissections (1982) Dakar Med., 27 (2), pp. 177-186
  25. Lang, J., Nachbaur, S., Fischer, K., Vogel, E., Über den Nervus Laryngeus superior und die Arteria Laryngea superior (1987) Acta Anat., 130 (4), pp. 309-318
  26. Droulias, C., Tzinas, S., Harlaftis, N., Akin, J.T., Jr., Gray, S.W., Skandalakis, J.E., The superior laryngeal nerve (1976) Am Surg., 42 (9), pp. 635-638
  27. Clader, D.N., Luter, P.W., Daniels BT. A photographic study of the superior and inferior laryngeal nerves and the superior and inferior thyroid arteries (1957) Am Surg., 23 (7), pp. 609-618
  28. Espinoza, J., Hamoir, M., Dhem, A., Preservation of the external branch of the superior laryngeal nerve in thyroid surgery: an anatomic study of 30 dissections (1989) Ann Otolaryngol Chir Cervicofac., 106 (2), pp. 127-134
  29. Wu, B.L., Sanders, I., Mu, L., Biller, H.F., The human communicating nerve. An extension of the external superior laryngeal nerve that innervates the vocal cord (1994) Arch Otolaryngol Head Neck Surg., 120 (12), pp. 1321-1328
  30. Nasri, S., Beizai, P., Ye, M., Sercarz, J.A., Kim, Y.M., Berke, G.S., Cross-innervation of the thyroarytenoid muscle by a branch from the external division of the superior laryngeal nerve (1997) Ann Otol Rhinol Laryngol., 106 (7), pp. 594-598. , suppl 1
  31. Sañudo, J.R., Maranillo, E., León, X., Mirapeix, R.M., Orús, C., Quer, M., An anatomical study of anastomoses between the laryngeal nerves (1999) Laryngoscope., 109 (6), pp. 983-987
  32. Maranillo, E., León, X., Quer, M., Orús, C., Sañudo, J.R., Is the external laryngeal nerve an exclusively motor nerve? The cricothyroid connection branch (2003) Laryingoscope., 113 (3), pp. 525-529
  33. Masuoka, H., Miyauchi, A., Yabuta, T., Fukushima, M., Miya, A., Innervation of the cricothyroid muscle by the recurrent laryngeal nerve (2016) Head Neck., 38, pp. E441-E445
  34. Liddy, W., Barber, S., Lin, B., Monitoring of the posterior cricoarytenoid muscle represents another option for neural monitoring during thyroid surgery: normative vagal and recurrent laryngeal nerve posterior cricoarytenoid muscle electromyographic data (2018) Laryngoscope., 128 (1), pp. 283-289
  35. Barczyński, M., Konturek, A., Stopa, M., Honowska, A., Nowak, W., Randomized controlled trial of visualization versus neuromonitoring of the external branch of the superior laryngeal nerve during thyroidectomy (2012) World J Surg., 36 (6), pp. 1340-1347
  36. Martin-Oviedo, C., Maranillo, E., Lowy-Benoliel, A., Functional role of human laryngeal nerve connections (2011) Laryngoscope., 121 (11), pp. 2338-2343
  37. Potenza, A.S., Phelan, E.A., Cernea, C.R., Normative intra-operative electrophysiologic waveform analysis of superior laryngeal nerve external branch and recurrent laryngeal nerve in patients undergoing thyroid surgery (2013) World J Surg., 37 (10), pp. 2336-2342
  38. Masuoka, H., Miyauchi, A., Higashiyama, T., Prospective randomized study on injury of the external branch of the superior laryngeal nerve during thyroidectomy comparing intraoperative nerve monitoring and a conventional technique (2015) Head Neck., 37 (10), pp. 1456-1460
  39. Darr, E.A., Tufano, R.P., Ozdemir, S., Kamani, D., Hurwitz, S., Randolph, G., Superior laryngeal nerve quantitative intraoperative monitoring is possible in all thyroid surgeries (2014) Laryngoscope., 124 (4), pp. 1035-1041
  40. Hwang, S.B., Lee, H.Y., Kim, W.Y., The anatomy of the external branch of the superior laryngeal nerve in Koreans (2013) Asian J Surg., 36 (1), pp. 13-19
  41. Kierner, A.C., Aigner, M., Burian, M., The external branch of the superior laryngeal nerve: its topographical anatomy as related to surgery of the neck (1998) Arch Otolaryngol Head Neck Surg., 124 (3), pp. 301-303
  42. Friedman, M., LoSavio, P., Ibrahim, H., Superior laryngeal nerve identification and preservation in thyroidectomy (2002) Arch Otolaryngol Head Neck Surg., 128 (3), pp. 296-303
  43. Selvan, B., Babu, S., Paul, M.J., Abraham, D., Samuel, P., Nair, A., Mapping the compound muscle action potentials of cricothyroid muscle using electromyography in thyroid operations: a novel method to clinically type the external branch of the superior laryngeal nerve (2009) Ann Surg., 250 (2), pp. 293-300
  44. Ozlugedik, S., Acar, H.I., Apaydin, N., Tekdemir, I., Elhan, A., Comert, A., Surgical anatomy of the external branch of the superior laryngeal nerve (2007) Clin Anat., 20 (4), pp. 387-391
  45. Mishra, A.K., Temadari, H., Singh, N., Mishra, S.K., Agarwal, A., The external laryngeal nerve in thyroid surgery: the “no more neglected” nerve (2007) Indian J Med Sci., 61 (1), pp. 3-8
  46. Pagedar, N.A., Freeman, J.L., Identification of the external branch of the superior laryngeal nerve during thyroidectomy (2009) Arch Otolaryngol Head Neck Surg., 135 (4), pp. 360-362
  47. Chuang, F.J., Chen, J.Y., Shyu, J.F., Surgical anatomy of the external branch of the superior laryngeal nerve in Chinese adults and its clinical applications (2010) Head Neck., 32 (1), pp. 53-57
  48. Furlan, J.C., Cordeiro, A.C., Brandão, L.G., Study of some “intrinsic risk factors” that can enhance an iatrogenic injury of the external branch of the superior laryngeal nerve (2003) Otolaryngol Head Neck Surg., 128 (3), pp. 396-400
  49. Morton, R.P., Whitfield, P., Al-Ali, S., Anatomical and surgical considerations of the external branch of the superior laryngeal nerve: a systematic review (2006) Clin Otolaryngol., 31 (5), pp. 368-374
  50. Tschiassny, K., Studies concerning the action of the muscle cricothyroideus (1944) Laryngoscope., 54, p. 589
  51. Arnold, G.E., Physiology and pathology of the cricothyroid muscle (1961) Laryngoscope., 71. , 687-753
  52. Hong, K.H., Ye, M., Kim, Y.M., Kevorkian, K.F., Kreiman, J., Berke, G.S., Functional differences between the two bellies of the cricothyroid muscle (1998) Otolaryngol Head Neck Surg., 118 (5), pp. 714-722
  53. Woodson, G.E., Effects of recurrent laryngeal nerve transection and vagotomy on respiratory contraction of the cricothyroid muscle (1989) Ann Otol Rhinol Laryngol., 98 (5), pp. 373-378. , (suppl 1)
  54. Woodson, G.E., Respiratory activity of the cricothyroid muscle in conscious humans (1990) Laryngoscope., 100 (1), pp. 49-53. , discussion 53
  55. Dedivitis, R.A., Guimarães, A.V., Identification of the external branch of the superior laryngeal nerve during minimally invasive video-assisted thyroidectomy (2005) Braz J Otorhinolaryngol., 71 (3), pp. 326-328
  56. Inabnet, W.B., Murry, T., Dhiman, S., Aviv, J., Lifante, J.C., Neuromonitoring of the external branch of the superior laryngeal nerve during minimally invasive thyroid surgery under local anesthesia: a prospective study of 10 patients (2009) Laryngoscope., 119 (3), pp. 597-601
  57. Barczyński, M., Randolph, G.W., Cernea, C., International Neural Monitoring Study Group in Thyroid and Parathyroid Surgery. International survey on the identification and neural monitoring of the EBSLN during thyroidectomy (2016) Laryngoscope., 126 (1), pp. 285-291
  58. Barczyński, M., Randolph, G.W., Cernea, C.R., External branch of the superior laryngeal nerve monitoring during thyroid and parathyroid surgery: International Neural Monitoring Study Group standards guideline statement (2013) Laryngoscope., 123, pp. S1-14
  59. Uludag, M., Aygun, N., Kartal, K., Contribution of intraoperative neural monitoring to preservation of the external branch of the superior laryngeal nerve: a randomized prospective clinical trial (2017) Langenbecks Arch Surg., 402 (6), pp. 965-976
  60. Lee, J., Fraser, S., Glover, A., Sidhu, S., Prospective evaluation of the utility of routine neuromonitoring for an established thyroid surgical practice (2017) ANZ J Surg., 87 (10), pp. E138-E142
  61. Teitelbaum, B.J., Wenig, B.L., Superior laryngeal nerve injury from thyroid surgery (1995) Head Neck., 17 (1), pp. 36-40
  62. Loré, J.M., Jr., Kim, D.J., Elias, S., Preservation of the laryngeal nerves during total lobectomy (1977) Ann Otol Rhinol Laryngol., 86 (6), pp. 777-788. , suppl 1
  63. Rossi, R.L., Cady, B., Silverman, M.L., Wool, M.S., Horner, T.A., Current results of conservative surgery for differentiated thyroid carcinoma (1986) World J Surg., 10 (4), pp. 612-622
  64. Jansson, S., Tisell, L.E., Hagne, I., Sanner, E., Stenborg, R., Svensson, P., Partial laryngeal nerve lesions before and after thyroid surgery (1988) World J Surg., 12 (4), pp. 522-527
  65. Potenza, A.S., Phelan, E.A., Cernea, C.R., Normative intra-operative electrophysiologic waveform analysis of superior laryngeal nerve external branch and recurrent laryngeal nerve in patients undergoing thyroid surgery (2013) World J Surg., 37 (10), pp. 2336-2342
  66. Hurtado-López, L.M., Díaz-Hernández, P.I., Basurto-Kuba, E., Zaldívar-Ramírez, F.R., Pulido-Cejudo, A., Efficacy of intraoperative neuro-monitoring to localize the external branch of the superior laryngeal nerve (2016) Thyroid., 26 (1), pp. 174-178
  67. Glover, A.R., Norlén, O., Gundara, J.S., Morris, M., Sidhu, S.B., Use of the nerve integrity monitor during thyroid surgery aids identification of the external branch of the superior laryngeal nerve (2015) Ann Surg Oncol., 22 (6), pp. 1768-1773
  68. Potenza, A.S., Araujo Filho, V.J.F., Cernea, C.R., Injury of the external branch of the superior laryngeal nerve in thyroid surgery (2017) Gland Surg., 6 (5), pp. 552-562
  69. Barczyński, M., Freeman, J.L., Cernea, C.R., External branch of superior laryngeal nerve (EBSLN) anatomic classification (2016) The Recurrent and Superior Laryngeal Nerves, pp. 187-196. , G. Randolph,(Eds), New York, NY: Springer
  70. Barczyński, M., Randolph, G.W., Surgical approach and monitoring of the external branch of the superior laryngeal nerve (EBSLN) (2016) The Recurrent and Superior Laryngeal Nerves, pp. 197-210. , G. Randolph,(Eds), New York, NY: Springer
  71. Sinclair, C.F., Téllez, M.J., Tapia, O.R., Ulkatan, S., Deletis, V., A novel methodology for assessing laryngeal and vagus nerve integrity in patients under general anesthesia (2017) Neurophysiology., 128 (7), pp. 1399-1405
  72. Sinclair, C.F., Téllez, M.J., Ulkatan, S., Noninvasive, tube-based, continuous vagal nerve monitoring using the laryngeal adductor reflex: Feasibility study of 134 nerves at risk (2018) Head Neck., 40 (11), pp. 2498-2506
  73. Sinclair, C.F., Téllez, M.J., Ulkatan, S., Human laryngeal sensory receptor mapping illuminates the mechanisms of laryngeal adductor reflex control (2018) Laryngoscope., 128 (11), pp. E365-E370

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