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Updated: Feb 16, 2026

Identification and Protection of the Recurrent Laryngeal Nerve during Transoral Robotic Thyroidectomy
Published on: October 24, 2025
The Delphian Node Revisited: An Uncommon Site of Recurrence
Benzon M Dy1, Ashok R Shaha1, Robert M Tuttle2
1Memorial Sloan Kettering Cancer Center, Department of Head and Neck Surgery, New York, New York 10065.
Abstract:
The Delphian nodes (DNs) are frequently involved in cancers of the head and neck, including laryngeal and thyroid malignancies. Positivity in the DN has been considered a predictor of recurrence as well as an overall aggressive tumor biology. However, little has been written regarding the consequences of recurrence at the site of the DN. We present two case reports regarding recurrence in the DN and the unique challenges associated with DN metastases. In addition, we discuss our surgical approach to disease at the prelaryngeal space, including workup, imaging, and resection.
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