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Yadav Sanjay Kumar,Silodia Ashutosh,Anand Aaryan,B Rajesh,Rai Roshni 대한내분비외과학회 2021 The Koreran journal of Endocrine Surgery Vol.21 No.2
Damage to the recurrent laryngeal nerves (RLNs) is one of the dreaded complications of thyroid and parathyroid surgery (1). In case of anatomical variations this risk is further increased. Terminal branching of RLN occurs anywhere from several centimeters from the cricothyroid muscle to within the larynx itself (2). Prevalence of extra-laryngeal branching (ELB) is reported to be around 60% (3). Another anatomical variation is anastomosis between RLN, and the cervical sympathetic chain known as sympathetic inferior laryngeal anastomotic branch (SILAB) which is rare (1%–2%) (4). We recently operated upon a patient of papillary thyroid carcinoma and encountered both these anatomic variations.