Reducing the rate of recurrent nerve paralysis by routine exposure of the nerves in thyroid gland operations

摘要: UNLABELLED The retrospective and comparative analysis of 734 benign operations the thyroid gland during years 1979-1993 without preparation 1.022 between 1994 1996 with routine recurrent laryngeal nerve shows a decrease permanent palsy rate from 5.99% to 0.88%. In 0.48% pareses (2 cases in 410 operations) were seen. OPERATIVE TECHNIQUE Before ligature blood-vessels at hilum before dorsal mobilisation lobe first inferior artery then are identified which is located distally esophago-tracheal sulcus prepared until its entry larynx. RECOMMENDATION We advice any operation gland. However, absolutely necessary identification following situations: 1. Hemithyroidectomy, 2. Exstirpation nodules hilum, 3. Morbus Basedow, 4. Reoperations, 5. Carcinomas.