The course of the phrenic nerve in the neck region and its relationship with adjacent anatomical structures in the thoracic inlet.

IF 1.4 4区医学 Q2 Medicine

Surgical and Radiologic Anatomy Pub Date : 2024-12-01 Epub Date: 2024-10-17 DOI:10.1007/s00276-024-03476-w

Nilay Yildiz, Gkionoul Nteli Chatzioglou, Osman Coşkun, Ayşin Kale, Özcan Gayretli

{"title":"The course of the phrenic nerve in the neck region and its relationship with adjacent anatomical structures in the thoracic inlet.","authors":"Nilay Yildiz, Gkionoul Nteli Chatzioglou, Osman Coşkun, Ayşin Kale, Özcan Gayretli","doi":"10.1007/s00276-024-03476-w","DOIUrl":null,"url":null,"abstract":"Pupose: This study aims to reveal the relationship of the phrenic nerve (PhN) with its neighboring structures in the lower neck region more comprehensively than previous studies and to minimize nerve damage by enabling invasive procedures in this region to be performed with high accuracy.Methods: Forty-one heminecks were evaluated. The relationship between the PhN and the anterior scalene muscle (ASM), internal thoracic artery (ITA), branches of subclavian artery (SA) and subclavian vein (SV) was examined.Results: It was observed that the PhN was located medial to the ASM in all cases. The distances were higher in male cadavers. The PhN was found to enter the thorax lateral to the ITA in 15/41 and medial to it in 25/41 sides. In 17/41 cases, the closest SA branch to the PhN was the thyrocervical trunk (TT) and in 24 cases the ITA. The PhN was located behind the SV in 38 cases and in front of it in 2 cases.The accessory PhN was found in 4/41 sides. There was no significant difference in morphometric findings between genders (p > 0.05). However, significant differences were observed between the parameters (p < 0.05).Conclusion: The anatomy and variations of the PhN are of great importance in surgical interventions and invasive procedures in the neck region. The study provides important information to reduce the risk of damage to the PhN in surgical procedures. In addition, knowledge of the anatomical variations of the nerve may contribute to more successful results in nerve grafting and other surgical applications.","PeriodicalId":49461,"journal":{"name":"Surgical and Radiologic Anatomy","volume":" ","pages":"1917-1928"},"PeriodicalIF":1.4000,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Surgical and Radiologic Anatomy","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00276-024-03476-w","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/10/17 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"Medicine","Score":null,"Total":0}

引用次数: 0

Abstract

Pupose: This study aims to reveal the relationship of the phrenic nerve (PhN) with its neighboring structures in the lower neck region more comprehensively than previous studies and to minimize nerve damage by enabling invasive procedures in this region to be performed with high accuracy.

Methods: Forty-one heminecks were evaluated. The relationship between the PhN and the anterior scalene muscle (ASM), internal thoracic artery (ITA), branches of subclavian artery (SA) and subclavian vein (SV) was examined.

Results: It was observed that the PhN was located medial to the ASM in all cases. The distances were higher in male cadavers. The PhN was found to enter the thorax lateral to the ITA in 15/41 and medial to it in 25/41 sides. In 17/41 cases, the closest SA branch to the PhN was the thyrocervical trunk (TT) and in 24 cases the ITA. The PhN was located behind the SV in 38 cases and in front of it in 2 cases.The accessory PhN was found in 4/41 sides. There was no significant difference in morphometric findings between genders (p > 0.05). However, significant differences were observed between the parameters (p < 0.05).

Conclusion: The anatomy and variations of the PhN are of great importance in surgical interventions and invasive procedures in the neck region. The study provides important information to reduce the risk of damage to the PhN in surgical procedures. In addition, knowledge of the anatomical variations of the nerve may contribute to more successful results in nerve grafting and other surgical applications.

查看原文本刊更多论文

膈神经在颈部的走向及其与胸廓入口处相邻解剖结构的关系。

目的：与之前的研究相比，本研究旨在更全面地揭示膈神经（PhN）与下颈部邻近结构的关系，并通过在该区域进行高精度的侵入性手术，最大限度地减少对神经的损伤：方法：对 41 个半月板进行了评估。方法：对 41 例半月板进行了评估，研究了 PhN 与前肩胛肌 (ASM)、胸内动脉 (ITA)、锁骨下动脉 (SA) 分支和锁骨下静脉 (SV) 之间的关系：结果：观察发现，所有病例的 PhN 都位于 ASM 的内侧。男性尸体的距离更大。15/41 的病例发现 PhN 进入胸腔时位于 ITA 的外侧，25/41 的病例发现 PhN 进入胸腔时位于 ITA 的内侧。在17/41的病例中，距离PhN最近的SA分支是甲状腺颈干（TT），在24个病例中是ITA。38例患者的PhN位于SV后方，2例患者的PhN位于SV前方。不同性别的形态测量结果无明显差异（P>0.05）。然而，不同参数之间存在明显差异（PPhN 的解剖和变化对颈部的外科干预和侵入性手术具有重要意义。本研究为降低手术过程中损伤 PhN 的风险提供了重要信息。此外，了解神经的解剖变异可能有助于在神经移植和其他手术应用中取得更成功的结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Surgical and Radiologic Anatomy Medicine-Pathology and Forensic Medicine

CiteScore

2.40

自引率

14.30%

发文量

期刊介绍： Anatomy is a morphological science which cannot fail to interest the clinician. The practical application of anatomical research to clinical problems necessitates special adaptation and selectivity in choosing from numerous international works. Although there is a tendency to believe that meaningful advances in anatomy are unlikely, constant revision is necessary. Surgical and Radiologic Anatomy, the first international journal of Clinical anatomy has been created in this spirit. Its goal is to serve clinicians, regardless of speciality-physicians, surgeons, radiologists or other specialists-as an indispensable aid with which they can improve their knowledge of anatomy. Each issue includes: Original papers, review articles, articles on the anatomical bases of medical, surgical and radiological techniques, articles of normal radiologic anatomy, brief reviews of anatomical publications of clinical interest. Particular attention is given to high quality illustrations, which are indispensable for a better understanding of anatomical problems. Surgical and Radiologic Anatomy is a journal written by anatomists for clinicians with a special interest in anatomy.