RLN Triangle and Triangle of Concern

Rodrigo Arrangoiz MS, MD, FACS, FSSO
  • RLN Triangle:
    • This is an inverted triangle with:
      • Apex formed inferiorly by:
        • Thoracic inlet
      • Medially:
        • Trachea
      • Lateral Margin:
        • The medial edge of retracted strap muscles
      • The superior border is:
        • The lower edge of the inferior pole of the gland
  • Recurrent laryngeal nerve exits as a single trunk here at thoracic inlet
  • Triangle of Concern:
    • The commonest site for bleeding in thyroidectomy:
      • Is the ‘triangle of concern’, comprising the:
        • Trachea medially
        • RLN nerve laterally
        • With the thyrothymic ligament and loose fat above the sternum at the base
        • Berry’s ligament at the apex
  • This triangle has the small branches of the inferior thyroid artery that require meticulous hemostasis with in the vicinity of RLN, which can cause injury to nerve
#Arrangoiz #CancerSurgeon #HeadandNeckSurgeon #SurgicalOncologist #Surgeon #Doctor #MD #MSCM #MountSinaiMedicalCenter #ThyroidSurgeon #EndocrineSurgery #ParathyroidSurgeon
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Published by Rodrigo Arrangoiz MS, MD, FACS, FSSO

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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