{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T10:51:05Z","timestamp":1782384665026,"version":"3.54.5"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T00:00:00Z","timestamp":1782345600000},"content-version":"vor","delay-in-days":25,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Injury to the recurrent laryngeal nerve (RLN) and its non-recurrent variant (NRLN) remains one of the most significant complications of thyroid and parathyroid surgery. The NRLN is a rare anatomical variation that arises directly from the cervical vagus nerve without looping into the thoracic cavity, most often associated with an aberrant subclavian artery. Identification of this structure is essential to avoid iatrogenic injury, particularly during thyroidectomy. We report the intraoperative neuromonitoring (IONM) identification of an unexpected non-recurrent left inferior laryngeal nerve; emerging directly from the vagus nerve and coursing horizontally towards the larynx. This case emphasizes the importance of IONM, surgical awareness of anatomical variation to prevent RLN and NRLN injury, and ensuring optimal postoperative laryngeal function.<\/jats:p>","DOI":"10.1093\/jscr\/rjag427","type":"journal-article","created":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T11:42:19Z","timestamp":1779277339000},"source":"Crossref","is-referenced-by-count":0,"title":["Intraoperative identification of a left non-recurrent laryngeal nerve by neuromonitoring: a critical anatomical finding\u2014case report"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-2478-8938","authenticated-orcid":false,"given":"Dioselina","family":"Lanzagorta Ortega","sequence":"first","affiliation":[{"name":"Department of General Surgery, American British Cowdray Medical Center , Mexico City ,","place":["Mexico"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-3197-3821","authenticated-orcid":false,"given":"Ana Sof\u00eda","family":"Hern\u00e1ndez Mart\u00ednez","sequence":"additional","affiliation":[{"name":"School of Medicine and Health Sciences, Tecnol\u00f3gico de Monterrey , Mexico City ,","place":["Mexico"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan Ramon","family":"Gomez Woodworth","sequence":"additional","affiliation":[{"name":"School of Medicine, Universidad Panamericana , Mexico City ,","place":["Mexico"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan Francisco","family":"Pe\u00f1a Garcia","sequence":"additional","affiliation":[{"name":"Department of General Surgery, American British Cowdray Medical Center , Mexico City ,","place":["Mexico"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moises","family":"Mercado Atri","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine and Endocrinology, American British Cowdray Medical Center , Mexico City ,","place":["Mexico"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enrique Ricardo","family":"Jean Silver","sequence":"additional","affiliation":[{"name":"Department of General Surgery, American British Cowdray Medical Center , Mexico City ,","place":["Mexico"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,6,3]]},"reference":[{"key":"2026062506264113000_ref1","doi-asserted-by":"publisher","first-page":"353","DOI":"10.1007\/s00276-023-03293-7","article-title":"Anatomical variations of recurrent laryngeal nerve: a systematic review and meta-analyses","volume":"46","author":"GV","year":"2024","journal-title":"Surg Radiol 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thyroidectomy","volume":"75","author":"Kumar","year":"2023","journal-title":"Indian J Otolaryngol Head Neck Surg"},{"key":"2026062506264113000_ref8","doi-asserted-by":"publisher","first-page":"e71370","DOI":"10.1002\/hsr2.71370","article-title":"Safety and efficacy of intraoperative neuromonitoring: an umbrella review","volume":"8","author":"Rezapour","year":"2025","journal-title":"Health Sci Rep"},{"key":"2026062506264113000_ref9","doi-asserted-by":"publisher","first-page":"4865","DOI":"10.1007\/s00464-021-08421-1","article-title":"Prevention of non-recurrent laryngeal nerve injury in robotic thyroidectomy: imaging and technique","volume":"35","author":"Zhang","year":"2021","journal-title":"Surg Endosc"},{"key":"2026062506264113000_ref10","doi-asserted-by":"publisher","first-page":"23247096241273099","DOI":"10.1177\/23247096241273099","article-title":"Non-recurrent laryngeal nerve during intraoperative neuromonitoring thyroidectomy: a case report and literature 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