Injury and precaution of recurrent laryngeal nerve during thyroid surgery
10.3760/cma.j.issn.1673-4203.2015.02.019
- VernacularTitle:甲状腺术中喉返神经的损伤和预防
- Author:
Weiwei LIU
;
Xianzhao DENG
;
Youben FAN
;
Qi ZHENG
;
Jie KANG
;
Bo WU
;
Zhili YANG
- Publication Type:Journal Article
- Keywords:
Thyroid gland;
Postoperation complications;
Recurrent laryngeal nerve;
Injury
- From:
International Journal of Surgery
2015;42(2):122-126
- CountryChina
- Language:Chinese
-
Abstract:
Recurrent laryngeal nerve injury is one of the serious complications after thyroidectomy.Unilateral injury causes hoarseness,while bilateral injury causes difficulty in breathing or even life-threatening glottis obstruction.Analyzing the root cause of the thyroid injury,firstly it is the anatomical factors of recurrent laryngeal nerve,namely the close and complex relationship between the recurrent laryngeal nerve and the inferior thyroid artery,the existence of branches of recurrent laryngeal nerve and its variation,and the presence of non recurrent laryngeal nerve and Zuckerkandl nodules.Those are all made the recurrent laryngeal nerve easy to be damaged.Secondly it is because of the vulnerability of the recurrent laryngeal nerve itself.Last improper using of energy operation instrument will cause heat injury on nerves.Below counter measures can be implemented to prevent recurrent laryngeal nerve injury.Dissect to show recurrent laryngeal nerve or make it ‘ visualization’ during thyroidectomy.Elaborately anatomize recurrent laryngeal nerve to appropriate degree.Be familiar with the property of energy operation instrument and thus safely use them to reduce the heat injury of recurrent laryngeal nerve.Reasonably use the intraoperative nerve monitoring in the surgery,which assist to reduce the risk of injury of recurrent laryngeal nerve.
