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Rates of RLN and SLN Injury: Data from National Quality Registries and the Literature
Pages 3-16
This textbook is designed to deliver a comprehensive up-to-date review of all aspects of recurrent laryngeal nerve and superior laryngeal nerve anatomy including surgically important anatomy, key strategic surgical maneuvers, state-of-the-art neural monitoring, preservation of recurrent and superior laryngeal nerves during thyroidectomy and surgical management. Presently, there is no other single book available, that includes all of these surgically important topics explicitly and in-depth. The book is visually oriented with color illustrations and photomicrographs embracing all aspects of recurrent laryngeal nerve anatomy including branching patterns, relationship of the nerve and the inferior thyroid artery and the non-recurrent recurrent laryngeal nerve. A new classification system for recurrent laryngeal nerve anatomy is proposed. Intraoperative neural monitoring of the nerves is also covered in detail along with new horizons and encompass a practical approach to neural monitoring right from set up, actual monitoring and clinical relevance and usefulness of the monitoring data in making surgical decisions. The current status of the field is summarized and placed in context with optimal surgical management of these nerves. All chapters are written by world class US and International experts in anatomy, surgery and nerve monitoring.
The Recurrent and Superior Laryngeal Nerves will be of great value to Otolaryngologists and General Surgeons, Endocrine Surgeons, Fellows in Endocrine, Head and Neck Surgery, General Surgery and Otolaryngology residents.
Rates of RLN and SLN Injury: Data from National Quality Registries and the Literature
Pages 3-16
Laryngeal Exam Indications and Techniques
Pages 17-29
Neurologic Control of the Larynx
Pages 33-42
Micro-neuroanatomy of the Vagus, Superior Laryngeal, and Recurrent Laryngeal Nerves
Pages 43-51
Intralaryngeal Anatomy of the Recurrent Laryngeal Nerve
Pages 53-63
Imaging of the Recurrent Laryngeal Nerve
Pages 65-75
RLN Nerve and Inferior Thyroid Crossing
Pages 79-82
Recurrent Laryngeal Nerve Branching
Pages 83-93
The Recurrent Laryngeal Nerve and the Tubercle of Zuckerkandl
Pages 95-101
The Ligament of Berry
Pages 103-113
The Nonrecurrent Inferior Laryngeal Nerve
Pages 115-123
The International RLN Anatomic Classification System
Pages 125-138
Surgical Approaches to the Recurrent Laryngeal Nerve
Pages 139-144
IONM of the Recurrent Laryngeal Nerve
Pages 147-168
Continuous Intraoperative Neuromonitoring (CIONM) of the Recurrent Laryngeal Nerve
Pages 169-183
External Branch of Superior Laryngeal Nerve (EBSLN) Anatomic Classification
Pages 187-195
Surgical Approach and Monitoring of the External Branch of the Superior Laryngeal Nerve (EBSLN)
Pages 197-208
Loss of Signal in IONM and Staged Thyroid Surgery
Pages 211-221
Mechanism of Injury
Pages 223-237
Intraoperative Neural Injury Management: Neuropraxic Non-transection Injury
Pages 239-251
Intraoperative Neural Injury Management: Transection and Segmental Defects
Pages 253-258
Nerve Management: Invasive Disease
Pages 259-269
Postoperative Management of Unilateral RLN Paralysis
Pages 271-284
Postoperative Management of Bilateral Vocal Cord Paralysis
Pages 285-293
The Recurrent Laryngeal Nerve and Medical Malpractice During Thyroid Surgery
Pages 295-299
Postoperative Management of Superior Laryngeal Nerve Paralysis
Pages 301-308
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