{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,5]],"date-time":"2025-12-05T11:18:24Z","timestamp":1764933504787,"version":"3.46.0"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2025,12,5]],"date-time":"2025-12-05T00:00:00Z","timestamp":1764892800000},"content-version":"vor","delay-in-days":6,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,11,29]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The non-recurrent right inferior laryngeal nerve is a rare anatomical variant of the recurrent laryngeal nerve, almost always associated with an aberrant right subclavian artery (Arteria Lusoria). Its unusual course increases the risk of iatrogenic injury during thyroid and neck surgery. A 45-year-old woman underwent right hemithyroidectomy for a solitary thyroid nodule suggestive of a follicular tumor. The recurrent laryngeal nerve was not found in its expected tracheoesophageal location. Careful dissection of the vagus nerve revealed a non-recurrent branch arising near the thyroid superior pole and coursing horizontally to the larynx. The nerve was preserved, and surgery was completed uneventfully without intraoperative neuromonitoring. The non-recurrent right inferior laryngeal nerve lies higher and more anterior than the recurrent pathway strongly linked to Arteria Lusoria. Failure to recognize it may cause permanent vocal cord paralysis. Preoperative imaging may suggest its presence, but intraoperative identification through meticulous vagus dissection remains essential for safe surgery.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf971","type":"journal-article","created":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T12:55:25Z","timestamp":1764075325000},"source":"Crossref","is-referenced-by-count":0,"title":["Identification of non-recurrent right inferior laryngeal nerve during thyroidectomy"],"prefix":"10.1093","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6446-7668","authenticated-orcid":false,"given":"Gerardo","family":"D\u2019Amato","sequence":"first","affiliation":[{"name":"Universit\u00e0 degli Studi di Napoli \u201cFederico II\u201d, Dipartimento di Scienze Biomediche Avanzate , Campania, Napoli 80131 ,","place":["Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mario","family":"Musella","sequence":"additional","affiliation":[{"name":"Universit\u00e0 degli Studi di Napoli \u201cFederico II\u201d, Dipartimento di Scienze Biomediche Avanzate , Campania, Napoli 80131 ,","place":["Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carolina","family":"Bartolini","sequence":"additional","affiliation":[{"name":"Universit\u00e0 degli Studi di Napoli \u201cFederico II\u201d, Dipartimento di Scienze Biomediche Avanzate , Campania, Napoli 80131 ,","place":["Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucrezia","family":"Borrelli","sequence":"additional","affiliation":[{"name":"Universit\u00e0 degli Studi di Napoli \u201cFederico II\u201d, Dipartimento di Scienze Biomediche Avanzate , Campania, Napoli 80131 ,","place":["Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessandra","family":"D\u2019Ambrosio","sequence":"additional","affiliation":[{"name":"Universit\u00e0 degli Studi di Napoli \u201cFederico II\u201d, Dipartimento di Scienze Biomediche Avanzate , Campania, Napoli 80131 ,","place":["Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio","family":"Franzese","sequence":"additional","affiliation":[{"name":"Universit\u00e0 degli Studi di Napoli \u201cFederico II\u201d, Dipartimento di Scienze Biomediche Avanzate , Campania, Napoli 80131 ,","place":["Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vincenzo","family":"Schiavone","sequence":"additional","affiliation":[{"name":"Universit\u00e0 degli Studi di Napoli \u201cFederico II\u201d, Dipartimento di Scienze Biomediche Avanzate , Campania, Napoli 80131 ,","place":["Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pasquale","family":"Avella","sequence":"additional","affiliation":[{"name":"Universit\u00e0 degli Studi di Napoli \u201cFederico II\u201d, Dipartimento di Scienze Biomediche Avanzate , Campania, Napoli 80131 ,","place":["Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-3561-1151","authenticated-orcid":false,"given":"Mafalda","family":"Ingenito","sequence":"additional","affiliation":[{"name":"Universit\u00e0 degli Studi di Napoli \u201cFederico II\u201d, Dipartimento di Scienze Biomediche Avanzate , Campania, Napoli 80131 ,","place":["Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,12,5]]},"reference":[{"key":"2025120506130944800_ref1","doi-asserted-by":"publisher","first-page":"84","DOI":"10.26497\/2014.000004.000072","article-title":"The non-recurrent laryngeal nerve: an anatomical \u201ctrap\u201d rev port Endocrinol","volume":"9","author":"Guerreiro","year":"2014","journal-title":"Diabetes Metab"},{"key":"2025120506130944800_ref2","doi-asserted-by":"publisher","first-page":"e3012","DOI":"10.7717\/peerj.3012","article-title":"The non-recurrent larynge- al nerve: a meta-analysis and clinical considerations","volume":"5","author":"Henry","year":"2017","journal-title":"PeerJ"},{"key":"2025120506130944800_ref3","first-page":"107","article-title":"A \u201cpilot light\u201d of the right non-recurrent laryngeal nerve","volume":"30","author":"Toniato","year":"2010","journal-title":"Acta Otorhinolaryngol Ital"},{"key":"2025120506130944800_ref4","first-page":"621","article-title":"Embryological considerations of thyroid surgery: developmental anatomy of the thyroid, parathyroids and the recurrent laryngeal nerve","volume":"42","author":"Gray","year":"1976","journal-title":"Am Surg"},{"key":"2025120506130944800_ref5","doi-asserted-by":"publisher","first-page":"919","DOI":"10.1017\/S0022215100100325","article-title":"Anatomy of the recurrent laryngeal nerve: a redescription","volume":"100","author":"Steinberg","year":"1986","journal-title":"J Laryngol Otol"},{"key":"2025120506130944800_ref6","first-page":"63","article-title":"David Bayford. His syndrome and sign of dysphagia lusoria","volume":"61","author":"Asherson","year":"1979","journal-title":"Ann R Coll Surg Engl"},{"key":"2025120506130944800_ref7","doi-asserted-by":"publisher","first-page":"113","DOI":"10.1002\/hed.10180","article-title":"Arteria lusoria identified on preoperative CT and nonrecurrent inferior laryngeal nerve during thyroidectomy: a retrospective study","volume":"25","author":"Hermans","year":"2003","journal-title":"Head Neck"},{"key":"2025120506130944800_ref8","doi-asserted-by":"publisher","first-page":"7761","DOI":"10.1038\/s41598-018-26219-5","article-title":"Protective effects of intraoperative nerve monitoring (IONM) for recurrent laryngeal nerve injury in thyroidectomy: meta-analysis","volume":"8","author":"Bai","year":"2018","journal-title":"Sci Rep"},{"key":"2025120506130944800_ref9","doi-asserted-by":"publisher","first-page":"971","DOI":"10.1007\/s002680010160","article-title":"Complications of thyroid surgery: how to avoid them, how to manage them, and observations on their possible effect on the whole patient","volume":"24","author":"Reeve","year":"2000","journal-title":"World J Surg"},{"key":"2025120506130944800_ref10","doi-asserted-by":"publisher","DOI":"10.1002\/9781118444832.ch6","volume-title":"Thyroid Surgery: Preventing and Managing Complications","author":"Miccoli","year":"2013"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/12\/rjaf971\/65761947\/rjaf971.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/12\/rjaf971\/65761947\/rjaf971.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,5]],"date-time":"2025-12-05T11:13:27Z","timestamp":1764933207000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaf971\/8369189"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,29]]},"references-count":10,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2025,11,29]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaf971","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,12]]},"published":{"date-parts":[[2025,11,29]]},"article-number":"rjaf971"}}