Avisse C, Marcus C, Delattre J F, Marcus C, Cailliez-Tomasi J P, Palot J P, Ladam-Marcus V, Menanteau B, Flament J B
Laboratoire d'Anatomie et Service de Chirurgie Générale et Digestive, C.H.U. Reims.
Surg Radiol Anat. 1998;20(3):227-32.
The authors report 17 cases of a right non-recurrent inferior laryngeal n. (NRILN) observed during 15 years of practice of thyroid and parathyroid surgery. In their last two cases, the existence of an aberrant right subclavian a., constantly associated with NRILN, was confirmed by MRI angiography. On the basis of the literature and their own experience, the authors review the incidence of this double anomaly, its embryologic explanation and its anatomic and surgical importance. They stress the diagnostic factors and the therapeutic implications, very different in children and adults, of a particular vascular anomaly whose outcome is little understood.
作者报告了在15年甲状腺和甲状旁腺手术实践中观察到的17例右侧喉返神经非返支（NRILN）病例。在他们的最后两例病例中，MRI血管造影证实存在一条异常的右锁骨下动脉，其与NRILN始终相关。基于文献和他们自己的经验，作者回顾了这种双重异常的发生率、胚胎学解释及其解剖学和手术重要性。他们强调了一种特定血管异常在儿童和成人中的诊断因素及治疗意义，这种异常的结果鲜为人知，二者差异很大。
