Prevention of the superior laryngeal nerve injury at endoscopic thyroidectomy through subclavicular approach
10.3760/cma.j.issn.1673-4904.2014.08.009
- VernacularTitle:经锁骨下入路无注气内镜辅助甲状腺切除术中喉上神经的保护
- Author:
Yingbin LI
;
Faya LIANG
;
Xiaoming HUANG
- Publication Type:Journal Article
- Keywords:
Thyroidectomy;
Endoscopes;
Subclavicular;
Superior laryngeal nerve;
Injury
- From:
Chinese Journal of Postgraduates of Medicine
2014;37(8):27-30
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the methods of the prevention of the superior laryngeal nerveinjury at endoscopic thyroidectomy through subclaviclar approach.Methods The clinical data of 100 patients with thyroid diseases received endoscopic thyroidectomy through subclavicular approach were analyzed retrospectively.Nodular goiter in 69 cases,adenoma in 18 cases,simple goiter in 13 cases.Line side lobe resection in 35 cases,the side lobe subtotal in 8 cases,the side lobe resection + subtotal contralateral lobe in 48 cases,bilateral subtotal gland in 9 cases.Results All 100 patients after surgery pronounced normal,no tone deep,choking water,etc,patients 7-30 d laryngoscope review found no abnormalities.Conclusion Thyroidectomy through subclavicular approach under endoscope is calleidic thyroidectomy,effectively avoid permanent superior laryngeal nerve injury.
