Place and value of the recurrent laryngeal nerve (RLN) palpatory method in preventing RLN palsy during thyroid surgery
作者： Áron Altorjay , Zoltán Tihanyi , Ferenc Luka , Árpád Juhász , Zsuzsanna Bencsik
DOI: 10.1002/HED.20996
关键词:
摘要: Background. In recent years, certain publications have appeared confirming that intraoperative palpation of the recurrent laryngeal nerve (RLN) is a very reliable method. Method. The characteristics surgical anatomy 1023 RLN been summarized on basis palpability, running down, branching variations, thickness, and entry site. Results. Palpation was helpful in 81.4% (833/1023), proved false positive 8.2% (84/1023), 10.4% (106/1023) it no help exact localization. Definitive palsy experienced 0.78% all cases (8/1023), while transient paresis encountered 1.2% (12/1023). Only moderately strong stochastic correlation could be found between palsies those nerves which were nonpalpable atypical, showed joint occurrence being both thinner than normal already before plane inferior thyroid artery (Cramer's associate coefficient, C = 0.383). Conclusion. Palpation alone cannot substitute visualization proper dissection nerve. © 2008 Wiley Periodicals, Inc. Head Neck, 2009
sci-hub.se 参考文章(24)
O. Thomusch, C. Sekulla, H. Dralle, Rolle der totalen Thyreoidektomie im primären Therapiekonzept der benignen Knotenstruma Der Chirurg. ,vol. 74, pp. 437- 443 ,(2003) , 10.1007/S00104-002-0605-3
Vitri P, Bastagli A, Salvaggio A, Galimberti A, Guzzetti S, Piraneo S, Recurrence of goitre after operation in euthyroid patients European Journal of Surgery. ,vol. 160, pp. 351- 356 ,(1994)
B. Koch, N. Huschitt, M. Boettcher, R. Hülsewede, Muß der Nervus recurrens bei der Schilddrüsenresektion immer freipräpariert werden? Eine prospektiv randomisierte Studie Chirurg. ,vol. 67, pp. 927- 932 ,(1996) , 10.1007/PL00002540
WILLIAM H. RUSTAD, LEWIS F. MORRISON, Revised anatomy of the recurrent laryngeal nerves; surgical importance based on the dissection of 100 cadavers; a preliminary report. Laryngoscope. ,vol. 62, pp. 237- 249 ,(1952) , 10.1288/00005537-195203000-00001
Gregory W. Randolph, James B. Kobler, Jamie Wilkins, Recurrent laryngeal nerve identification and assessment during thyroid surgery: laryngeal palpation. World Journal of Surgery. ,vol. 28, pp. 755- 760 ,(2004) , 10.1007/S00268-004-7348-X
John A. Olson, Mary K. DeBenedetti, Dirk S. Baumann, Samuel A. Wells, Parathyroid autotransplantation during thyroidectomy. Results of long-term follow-up. Annals of Surgery. ,vol. 223, pp. 472- 480 ,(1996) , 10.1097/00000658-199605000-00003
Oliver Thomusch, Carsten Sekulla, Gerard Walls, Andreas Machens, Henning Dralle, Intraoperative neuromonitoring of surgery for benign goiter American Journal of Surgery. ,vol. 183, pp. 673- 678 ,(2002) , 10.1016/S0002-9610(02)00856-5
Serdar OZBAS, Savas KOCAK, Semih AYDINTUG, Atil CAKMAK, Mehmet Ali DEMIRKIRAN, Gordon C. WISHART, Comparison of the complications of subtotal, near total and total thyroidectomy in the surgical management of multinodular goitre. Endocrine Journal. ,vol. 52, pp. 199- 205 ,(2005) , 10.1507/ENDOCRJ.52.199
Martin Steurer, Christian Passler, Doris M. Denk, Berit Schneider, Bruno Niederle, Wolfgang Bigenzahn, Advantages of Recurrent Laryngeal Nerve Identification in Thyroidectomy and Parathyroidectomy and the Importance of Preoperative and Postoperative Laryngoscopic Examination in More Than 1000 Nerves at Risk Laryngoscope. ,vol. 112, pp. 124- 133 ,(2002) , 10.1097/00005537-200201000-00022
Chisato Tomoda, Yoshihiro Hirokawa, Takashi Uruno, Yuuki Takamura, Yasuhiro Ito, Akihiro Miya, Kaoru Kobayashi, Fumio Matsuzuka, Kanji Kuma, Akira Miyauchi, Sensitivity and Specificity of Intraoperative Recurrent Laryngeal Nerve Stimulation Test for Predicting Vocal Cord Palsy after Thyroid Surgery World Journal of Surgery. ,vol. 30, pp. 1230- 1233 ,(2006) , 10.1007/S00268-005-0351-Z