{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T00:32:06Z","timestamp":1761006726525,"version":"build-2065373602"},"reference-count":18,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2016,12,20]],"date-time":"2016-12-20T00:00:00Z","timestamp":1482192000000},"content-version":"vor","delay-in-days":5043,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2003,3]]},"abstract":"<jats:sec><jats:title>OBJECTIVE<\/jats:title><jats:p>This study evaluates some \u201cintrinsic risk factors\u201d for a surgical injury of the external branch of superior laryngeal nerve (EBSLN) based on its anatomic relationship with the thyroid gland.<\/jats:p><\/jats:sec><jats:sec><jats:title>STUDY DESIGN AND SETTING<\/jats:title><jats:p>Seventy\u2010two neck dissections were performed in 36 fresh human adult cadavers. Every EBSLN was dissected and categorized using Cernea's classification. All data regarding gender, ethnicity, stature, side of the neck, and volume of hemi thyroid were collected and statistically analyzed by the \u03c7<jats:sup>2<\/jats:sup>\u2013test and analysis of variance.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Although no statistical differences were observed between genders (<jats:italic>P<\/jats:italic> = 0.3770), ethnicities (<jats:italic>P<\/jats:italic> = 0.9780) or sides of the neck (<jats:italic>P<\/jats:italic> = 0.2523), statistical significance was reached regarding the nerve type when the groups were divided by stature (<jats:italic>P<\/jats:italic> = 0.0006) and glandular volume (<jats:italic>P<\/jats:italic> = 0.0007).<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSION<\/jats:title><jats:p>Individual stature and volume of the hemi thyroid gland are probably involved in risk of the surgical EBSLN injury.<\/jats:p><\/jats:sec><jats:sec><jats:title>SIGNIFICANCE<\/jats:title><jats:p>Surgeons should be aware of these anatomic findings in order to obtain a good voice\u2010related outcome in the thyroidectomies.<\/jats:p><\/jats:sec>","DOI":"10.1067\/mhn.2003.11","type":"journal-article","created":{"date-parts":[[2003,3,25]],"date-time":"2003-03-25T21:25:50Z","timestamp":1048627550000},"page":"396-400","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":29,"title":["Study of Some \u201cIntrinsic Risk Factors\u201d that Can Enhance an Iatrogenic Injury of the External Branch of the Superior Laryngeal Nerve"],"prefix":"10.1002","volume":"128","author":[{"given":"Julio Cesar","family":"Furlan","sequence":"first","affiliation":[{"name":"Department of Surgery Division of Head and Neck Surgery Clinical Hospital of the Faculty of Medicine University of S\u00e3o Paulo S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"An\u00f3i Castro","family":"Cordeiro","sequence":"additional","affiliation":[{"name":"Department of Surgery Division of Head and Neck Surgery Clinical Hospital of the Faculty of Medicine University of S\u00e3o Paulo S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lenine Garcia","family":"Brand\u00e3","sequence":"additional","affiliation":[{"name":"Department of Surgery Division of Head and Neck Surgery Clinical Hospital of the Faculty of Medicine University of S\u00e3o Paulo S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,12,20]]},"reference":[{"key":"e_1_2_6_2_1","first-page":"402","article-title":"Die paralyse des m. cricothyreoideus","volume":"18","author":"Mying H.","year":"1906","journal-title":"Arch Laryngol and Rhinol"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-196107000-00002"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-1622.2000.01781.x"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0892-1997(88)80058-4"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01655538"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01655439"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.2880140507"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s002680010173"},{"key":"e_1_2_6_10_1","first-page":"340","article-title":"La pr\u00e9servation du neff laryng\u00e9 exteme en chirurgie thyro\u00efdienne","volume":"53","author":"Visset J.","year":"1999","journal-title":"Ann Chir"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348949810701204"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(92)90391-4"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-6665(20)31274-3"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(97)70258-1"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-197702000-00010"},{"key":"e_1_2_6_16_1","first-page":"1011","article-title":"The external laryngeal nerve as related to thyroidectomy","volume":"127","author":"Moosman DA","year":"1968","journal-title":"Surg Gynecol Obstet"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.3928\/0147-7447-20000801-19"},{"key":"e_1_2_6_18_1","first-page":"177","article-title":"Le neff laryng\u00e9 externe dans la chirurgie d'ex\u00e9r\u00e8se thyro\u00efdienne. Correlations anatomo\u2010chirurgicales \u00e0 propos de 30 dissections","volume":"27","author":"Sow ML","year":"1982","journal-title":"Dakar M\u00e9dical"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/0196-0709(95)90058-6"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1067\/mhn.2003.11","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1067\/mhn.2003.11","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1067\/mhn.2003.11","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T09:53:16Z","timestamp":1760953996000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1067\/mhn.2003.11"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2003,3]]},"references-count":18,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2003,3]]}},"alternative-id":["10.1067\/mhn.2003.11"],"URL":"https:\/\/doi.org\/10.1067\/mhn.2003.11","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"type":"print","value":"0194-5998"},{"type":"electronic","value":"1097-6817"}],"subject":[],"published":{"date-parts":[[2003,3]]},"assertion":[{"value":"2016-12-20","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}