This study was based on 34 recurrent laryngeal nerve dissections after
arterial casting with red-colored latex. The aim was to provide speci
fic information about the perineural microvasculature. This study esta
blished the following points: 1. a great anatomic variability does exi
st; 2. the laryngeal nerve is usually in relation to the posterior bra
nch of the inferior thyroid artery; and 3. this vascular branch is som
etimes replaced with a vascular network, In all cases, this microvascu
larization must be preserved during thyroid surgery.