FEATURES OF TOPOGRAFY AND ANATOMY OF INFERIOR LARYNGEAL NERVE IN CHILDREN OF FIRST 10 YEAR OF AGE
Abstract
The aim is to establish topographic and anatomical features of inferior laryngeal nerve in children from 0 to 10 years old who didn’t suffer from congenital and acquired pathologies of neck organs of the studied region during their life. The features of topography and structure of inferior laryngeal nerve in places where it can be damaged with high risk during thyroidectomy were studied due to macro microscopic method on autopsy material of 10 neck organocomplexes of children (0-10 years old). It has been revealed that the nerve most often passes behind inferior thyroid artery, and near larynx - posterior to or between branches of inferior thyroid artery in children (0-10 years old). Extralaryngeal division of inferior laryngeal nerve is observed in 40% of cases. Regarding Zuckerkandl’s tubercle, it has been found the nerve is located on its posterior (44.4%) and medial (27.8%) surfaces, as well behind it (27.8%). It has been revealed that inferior laryngeal nerve pierces ligament of Berry with the same frequency (10%) in both sides. The revealed features of topography and anatomy of inferior laryngeal nerve of children from birth to 10 years old relative to inferior thyroid artery, its branches, Zuckerkandl’s tubercle and ligament Berry should be taken into account in surgical practice.



