PMID- 28399552
OWN - NLM
STAT- MEDLINE
DCOM- 20171017
LR  - 20220408
IS  - 1528-1159 (Electronic)
IS  - 0362-2436 (Linking)
VI  - 42
IP  - 8
DP  - 2017 Apr 15
TI  - Anatomic Relationship Between Right Recurrent Laryngeal Nerve and Cervical Fascia 
      and Its Application Significance in Anterior Cervical Spine Surgical Approach.
PG  - E443-E447
LID - 10.1097/BRS.0000000000001881 [doi]
AB  - STUDY DESIGN: An anatomic study of anterior cervical dissection of 42 embalmed 
      cadavers. OBJECTIVE: The aim was to study the anatomic relationship between 
      recurrent laryngeal nerve (RLN) and cervical fascia combined with the 
      requirements in anterior cervical spine surgery (ACSS). SUMMARY OF BACKGROUND 
      DATA: There has been no systematic research about how to avoid RLN injury in 
      anterior cervical spine surgical approach from the aspect of the anatomic 
      relationship between RLN and cervical fascia. METHODS: Forty-two adult cadavers 
      were dissected to observe the relationships between RLN and different cervical 
      fascia layers. RESULTS: RLN pierced out the alar fascia from the inner edge of 
      the carotid sheath in all cases, and the piercing position in 22 cases (52.4%) 
      was located at the lower segment of T1. The enter point into visceral fascia of 
      RLN was located at C7-T1 in 25 cases (59.5%). The middle layer of deep cervical 
      fascia exhibited the most stable anatomic relationship with RLN at the carotid 
      sheath confluence site. Pulling visceral sheath leftwards would significantly 
      increase the RLN tension. CONCLUSION: Using the close and stable relationship 
      between RLN and cervical fascia could help to avoid RLN injury in anterior 
      cervical spine surgical approach. LEVEL OF EVIDENCE: 4.
FAU - Shan, Jianlin
AU  - Shan J
AD  - Department of Orthorpaedics, Beijing General Hospital of PLA, Beijing, China.
FAU - Jiang, Heng
AU  - Jiang H
AD  - Department of Anatomy, Chengdu Medical College, Chengdu, China.
FAU - Ren, Dajiang
AU  - Ren D
AD  - Department of Orthorpaedics, Beijing General Hospital of PLA, Beijing, China.
FAU - Wang, Chongwei
AU  - Wang C
AD  - Department of Orthorpaedics, Beijing General Hospital of PLA, Beijing, China.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Spine (Phila Pa 1976)
JT  - Spine
JID - 7610646
SB  - IM
CIN - Spine (Phila Pa 1976). 2019 Dec 15;44(24):E1471-E1472. PMID: 31794510
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Cadaver
MH  - Cervical Vertebrae/*anatomy & histology/*surgery
MH  - Dissection
MH  - Fascia/*anatomy & histology
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Neck/*anatomy & histology/surgery
MH  - Recurrent Laryngeal Nerve/*anatomy & histology/surgery
MH  - Recurrent Laryngeal Nerve Injuries/etiology/*prevention & control
MH  - Young Adult
EDAT- 2017/04/12 06:00
MHDA- 2017/10/19 06:00
CRDT- 2017/04/12 06:00
PHST- 2017/04/12 06:00 [entrez]
PHST- 2017/04/12 06:00 [pubmed]
PHST- 2017/10/19 06:00 [medline]
AID - 00007632-201704150-00003 [pii]
AID - 10.1097/BRS.0000000000001881 [doi]
PST - ppublish
SO  - Spine (Phila Pa 1976). 2017 Apr 15;42(8):E443-E447. doi: 
      10.1097/BRS.0000000000001881.