{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T18:43:05Z","timestamp":1793644985032,"version":"4.5.1"},"reference-count":22,"publisher":"Cambridge University Press (CUP)","issue":"6","license":[{"start":{"date-parts":[[2022,6,20]],"date-time":"2022-06-20T00:00:00Z","timestamp":1655683200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215122001360_sec_a1\"><jats:title>Background<\/jats:title><jats:p>Recurrent laryngeal nerve identification is the \u2018gold standard\u2019 in thyroidectomy, to determine nerve function security and prevent severe complications. This study assessed the topographical relationship between the recurrent laryngeal nerve and the inferior thyroid artery in patients undergoing total thyroidectomy, and determined its clinical impact.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215122001360_sec_a2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>A retrospective study was performed of patients undergoing total thyroidectomy in a single tertiary centre over a six-month period.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215122001360_sec_a3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Sixty-four patients were included. Among the 128 recurrent laryngeal nerve dissections, the nerve was identified traversing the inferior thyroid artery anteriorly in 27.3 per cent, with equal distribution between the two sides. No significant sex association was reported. One patient had transient vocal fold palsy, and hypocalcaemia was observed in 21.9 per cent, yet there was no statistical association with the topographical variation of the recurrent laryngeal nerve.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215122001360_sec_a4\" sec-type=\"conclusions\"><jats:title>Conclusion<\/jats:title><jats:p>Almost one-third of patients had an anatomical variation in which the recurrent laryngeal nerve ran superiorly to the inferior thyroid artery. Recurrent laryngeal nerve variation had no clinical impact on local complications or hypocalcaemia.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215122001360","type":"journal-article","created":{"date-parts":[[2022,6,20]],"date-time":"2022-06-20T05:06:50Z","timestamp":1655701610000},"page":"673-677","source":"Crossref","is-referenced-by-count":4,"title":["Anatomical variations of the recurrent laryngeal nerve according to the inferior thyroid artery and their clinical impact in patients undergoing thyroidectomy"],"prefix":"10.1017","volume":"137","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7437-3518","authenticated-orcid":false,"given":"E","family":"Gkrinia","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P","family":"Nana","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K","family":"Spanos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Fiska","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2312-7218","authenticated-orcid":false,"given":"J","family":"Hajiioannou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C","family":"Skoulakis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A H","family":"Zibis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2022,6,20]]},"reference":[{"key":"S0022215122001360_ref15","doi-asserted-by":"publisher","DOI":"10.1002\/hed.24582"},{"key":"S0022215122001360_ref11","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200202000-00033"},{"key":"S0022215122001360_ref19","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2013-201033"},{"key":"S0022215122001360_ref21","first-page":"14","article-title":"Assessment of the early and late complication after thyroidectomy","volume":"27","author":"Chahardahmasumi","year":"2019","journal-title":"Adv Biomed Res"},{"key":"S0022215122001360_ref4","doi-asserted-by":"publisher","DOI":"10.1007\/s00276-003-0129-7"},{"key":"S0022215122001360_ref8","first-page":"329","article-title":"Anatomic pitfalls of recurrent laryngeal nerve dissection","volume":"120","author":"Flament","year":"1983","journal-title":"J Chir (Paris)"},{"key":"S0022215122001360_ref3","doi-asserted-by":"publisher","DOI":"10.1007\/s00423-008-0320-8"},{"key":"S0022215122001360_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.anorl.2015.08.002"},{"key":"S0022215122001360_ref14","doi-asserted-by":"publisher","DOI":"10.1007\/s00276-009-0494-y"},{"key":"S0022215122001360_ref2","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000014455"},{"key":"S0022215122001360_ref12","first-page":"490390","article-title":"A closer look at laryngeal nerves during thyroid surgery: a descriptive study of 584 nerves","volume":"2012","author":"Pradeep","year":"2012","journal-title":"Anat Res Int"},{"key":"S0022215122001360_ref17","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100100325"},{"key":"S0022215122001360_ref9","doi-asserted-by":"publisher","DOI":"10.1177\/000348941212101005"},{"key":"S0022215122001360_ref20","doi-asserted-by":"publisher","DOI":"10.21614\/chirurgia.114.5.564"},{"key":"S0022215122001360_ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2003.11.001"},{"key":"S0022215122001360_ref1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000003580"},{"key":"S0022215122001360_ref10","doi-asserted-by":"publisher","DOI":"10.1590\/S0041-87812000000600001"},{"key":"S0022215122001360_ref13","doi-asserted-by":"publisher","DOI":"10.1002\/ca.22448"},{"key":"S0022215122001360_ref5","doi-asserted-by":"publisher","DOI":"10.1046\/j.1445-2197.2002.02578.x"},{"key":"S0022215122001360_ref16","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(99)00101-4"},{"key":"S0022215122001360_ref18","doi-asserted-by":"publisher","DOI":"10.1007\/s00423-016-1455-7"},{"key":"S0022215122001360_ref22","doi-asserted-by":"publisher","DOI":"10.1055\/s-2006-956504"}],"container-title":["The Journal of Laryngology &amp; 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