避免甲状腺切除术的并发症:重复性喉神经和高级喉神经的保存
Kevin Y Liang1, Joseph Scharpf1
1Head and Neck Institute, Cleveland Clinic Foundation, 9500 Euclid Avenue, A71, Cleveland, OH 44195, USA.
Otolaryngologic clinics of North America
|September 23, 2023
概括
甲状腺手术对上层和复发性喉神经构成风险. 精心的手术规划,神经剖析和手术内监测对于保持神经功能至关重要.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术解剖学手术解剖学
背景情况:
- 甲状腺手术需要仔细管理喉内置.
- 上部和循环喉神经受伤可能导致声带功能障碍.
研究的目的:
- 概述在甲状腺切除术期间最大限度地减少喉神经损伤的策略.
- 强调手术前评估和手术内技术的重要性.
主要方法:
- 对喉神经保护的解剖学考虑的审查.
- 讨论手术剖析技术的讨论.
- 对手术内神经监测实用程序的评估.
主要成果:
- 综合性的手术前评估有助于手术规划.
- 直接可视化和剖析神经可以最大限度地减少伤害.
- 术内神经监测有助于神经的识别和完整性评估.
结论:
- 精细的外科手术技术对于喉神经安全至关重要.
- 仔细剖析和神经监测的结合优化了结果.
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