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Case report: An unusual variation in the course of recurrent laryngeal nerve in relation to the thyroid gland

A complete understanding of the anatomic variations of the thyroid gland is necessary for a safe thyroid surgery. Injury to recurrent laryngeal nerve during thyroid surgery remains a significant source of morbidity. We present an uncommon variation in the position of right recurrent laryngeal nerve with the Tubercle of Zuckerkandl in a 40-year-old female who underwent thyroidectomy for a benign multinodular goiter. Identification and meticulous dissection of the Tubercle of Zuckerkandl and recognition of its association with the recurrent laryngeal nerve are essential to maintain the integrity of the nerve and prevent complications during thyroid surgery.