在甲状腺瘤前面循环的重复性喉神经循环
Minoru Kihara1, Akira Miyauchi2, Makoto Fujishima2
1Department of Surgery Kuma Hospital, 8-2-35 Shimoyamate-Dori, Chuo-Ku, Kobe, Hyogo, 650-0011, Japan. kihara@kuma-h.or.jp.
Thyroid research
|July 20, 2023
概括
在甲状腺瘤前面运行的复发性喉神经 (RLN) 的罕见病例突出了解剖学变异. 外科医生必须在甲状腺切除术期间保持谨慎,特别是在大型瘤的情况下,以避免神经受损.
科学领域:
- 人体解剖学 解剖学 解剖学
- 手术 手术 手术 术 术
- 神经学 神经学
背景情况:
- 复发性喉神经 (RLN) 通常在甲状腺后部进行.
- 在RLN过程中可能发生解剖学变化,造成手术风险.
- 甲状腺瘤可以取代周围的结构,使手术导航复杂化.
研究的目的:
- 报告一种罕见的喉神经复发 (RLN) 病例,与甲状腺瘤相关的异常前部过程.
- 强调在甲状腺切除术期间对潜在的RLN变异进行手术期间的警的重要性.
主要方法:
- 一个56岁的妇女因良性甲状腺瘤而接受甲状腺切除术的病例报告.
- 术前计算机断层扫描 (CT) 来评估瘤的扩散程度.
- 使用直接可视化和手术内神经监测进行RLN的手术内识别和保存.
主要成果:
- 复发性喉神经 (RLN) 被发现在甲状腺瘤的前部运行,偏离其典型的后部过程.
- 在正常甲状腺组织后部进入喉的RLN,证实其异常路径.
- 成功识别和保存RLN可以防止潜在的声带功能障碍.
结论:
- 在甲状腺瘤存在时,异常前部RLN过程是一种罕见但至关重要的外科考虑.
- 术前成像可能无法可靠地检测出这种特定的RLN变异.
- 在这种情况下,加强手术期间的意识和神经监测对于在甲状腺手术期间保持RLN至关重要.
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