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전강웅(Kang-Woong Jun),원대연(Dae-Yeon Won),배자성(Ja-Sung Bae),성기영(Ki Young Sung),김정수(Jung-Soo Kim),전해명(Hae-Myoung Chun),정상설(Sang-Seol Chung),박우찬(Woo-Chan Park) 대한외과학회 2008 Annals of Surgical Treatment and Research(ASRT) Vol.75 No.6
A nonrecurrent laryngeal nerve has a reported incidence of 0.3 to 1.6%, and they mainly occur on the right side of neck during thyroidectomy. We experienced a case of nonrecurrent laryngeal nerve during surgery for papillary thyroid cancer. Total thyroidectomy with central and right lateral node dissection was performed in a 53-year-old female patient for her papillary thyroid cancer. During right central node dissection at the 4th tracheal ring level, the recurrent laryngeal nerve was found as a direct branch from the vagus nerve across the common carotid artery at the posterior aspect and no any other vascular abnormality was found on the operative field. During thyroid surgery, a surgeon should be careful not to damage a nonrecurrrent laryngeal nerve that"s found incidentally.