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Updated: May 28, 2026
Identification and Protection of the Recurrent Laryngeal Nerve during Transoral Robotic Thyroidectomy
Published on: October 24, 2025
[The application of anatomization of the recurrent laryngeal nerve under the microscope during thyroid surgery]
Chen Li1, Jianmin Huang, Desheng Wang
1Department of Otolaryngology, the Affiliated Union Hospital, Fujian Medical University, Fuzhou,350001, China. lc7698999@163.com
Objective:
To discuss the application of anatomization of the recurrent laryngeal nerve under the microscope in thyroid surgery.
Method:
292 patients with different types of thyroid diseases who underwent surgical intervention were discussed by regression analysis. For all patients, the movement of both vocal cords was normal before the surgery by laryngoscope. And routine anatomization of the recurrent laryngeal nerve under the microscope was conducted during thyroid surgery.
Result:
The total number of recurrent laryngeal nerve exposure in this study was 402. Only three of them got temporary injury. None had permanent damage.
Conclusion:
The recurrent laryngeal nerve can be visualized more clearly by dissection under the microscope, which can best avoid the recurrent laryngeal nerve injury. Particularly it is beneficial for the patients who have prior thyroid surgery history or have thyroid gland cancer.
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