Intra-Operative Differentiation of the Parathyroid Glands by the Path of the Recurrent Laryngeal Nerve (RLN)

  • Pyrtek and Painter (1964) studied the location of the parathyroid glands in relation to recurrent laryngeal nerve (RLN):
    • Considering the path of the nerve (RLN) as a coronal clivage plane:
      • The lower parathyroid gland:
        • Is always located ventral or anterior (more superficial in the neck)
      • Upper parathyroid gland:
        • Is positioned dorsal or posterior (deeper in the neck)
  • Scheme “Pyrtek Clivaje Plane”:
    1. Superior parathyroid gland
    2. Inferior parathyroid gland
    3. Recurrent laryngeal nerve
    4. Thyroid gland
    5. Trachea
    6. Thyroid cartilage
    7. Cricoid cartilage
  • Reference:
    • Pyrtek LJ, Painter RL. An anatomic study of the relationship of the parathyroid glands to the recurrent laryngeal nerve. Surg Gynaecol Obstet

#Arrangoiz #ParathyroidSurgeon #ThyroidSurgeon #ParathyroidExpert #ThyroidExpert #HeadandNeckSurgeon #CancerSurgeon #Teacher #Surgeon

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