In order to limit any bleeding or tissue distortion that may compromise the identification of the parathyroid glands:
The RLN is identified ONLY after all parathyroid glands have been exposed AND a decision made as to which one to remove
The RLN is identified in the inferior portion of the neckcaudal to the ITA:
The angle between the trachea and theITA is visually bisected, and careful blunt dissection isperformed along this line to identify the nerve (Figure)
Further dissection on the perineurium of the nerve toward theITA can be performed to approximate the course of the RLN
Identification of the recurrent laryngeal nerve allows for safeand confident dissection and ligation of the vascular pedicle supplyingthe parathyroid gland. The angle between the inferior thyroid artery andthe trachea is visually bisected, and areola tissue along this angle isspread with a fine hemostat to identify the nerve
My name is Rodrigo Arrangoiz I am a breast surgeon/ thyroid surgeon / parathyroid surgeon / head and neck surgeon / surgical oncologist that works at Center for Advanced Surgical Oncology in Miami, Florida.
I was trained as a surgeon at Michigan State University from (2005 to 2010) where I was a chief resident in 2010. My surgical oncology and head and neck training was performed at the Fox Chase Cancer Center in Philadelphia from 2010 to 2012. At the same time I underwent a masters in science (Clinical research for health professionals) at the University of Drexel. Through the International Federation of Head and Neck Societies / Memorial Sloan Kettering Cancer Center I performed a two year head and neck surgery and oncology / endocrine fellowship that ended in 2016.
Mi nombre es Rodrigo Arrangoiz, soy cirujano oncólogo / cirujano de tumores de cabeza y cuello / cirujano endocrino que trabaja Center for Advanced Surgical Oncology en Miami, Florida.
Fui entrenado como cirujano en Michigan State University (2005 a 2010 ) donde fui jefe de residentes en 2010. Mi formación en oncología quirúrgica y e n tumores de cabeza y cuello se realizó en el Fox Chase Cancer Center en Filadelfia de 2010 a 2012. Al mismo tiempo, me sometí a una maestría en ciencias (investigación clínica para profesionales de la salud) en la Universidad de Drexel. A través de la Federación Internacional de Sociedades de Cabeza y Cuello / Memorial Sloan Kettering Cancer Center realicé una sub especialidad en cirugía de cabeza y cuello / cirugia endocrina de dos años que terminó en 2016.
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Rodrigo Arrangoiz MS, MD, FACS, FSSO 